NPIMap

Organization Active NPI

Life Christian Outreach, Inc.

Doing business as LIFE Homes

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbia, MO
National Provider Identifier
1194021196
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LIFE CHRISTIAN OUTREACH, INC.
Doing business as
LIFE Homes
Practice address
1250 N Dozier Station Rd
Columbia, MO 65202-7798
Phone
(573) 256-6155
Fax
(573) 256-6156
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Greg Ordway
Title
Vice President
Phone
(573) 256-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1250 N Dozier Station Rd
Columbia, MO 65202-7798

Mailing address

1250 N Dozier Station Rd
Columbia, MO 65202-7798
Phone (573) 256-6155

Other names 1

  • LIFE Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Christain Outreach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1194021196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N DOZIER STATION RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652027798",
            "telephone_number": "573-256-6155",
            "fax_number": "573-256-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N DOZIER STATION RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652027798",
            "telephone_number": "573-256-6155",
            "fax_number": "573-256-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHRISTIAN OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "573-256-6155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.