Organization Active NPI

Lifetouch Human Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • High Point, NC
National Provider Identifier
1194153544
Registry record updated Oct 23, 2013
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
LIFETOUCH HUMAN SERVICES
Practice address
414 Otteray Ave
High Point, NC 27262-2918
Phone
(336) 887-9504
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Rodney Antonio Edwards, BSQP
Title
Executive Director
Phone
(336) 887-9504

Specialties & licenses 1

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

Addresses

Primary practice location

414 Otteray Ave
High Point, NC 27262-2918

Mailing address

414 Otteray Ave
High Point, NC 27262-2918
Phone (336) 887-9504

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1194153544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 OTTERAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622918",
            "telephone_number": "336-887-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OTTERAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622918",
            "telephone_number": "336-887-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETOUCH HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-887-9504",
        "authorized_official_credential": "BSQP"
    },
    "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": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.