Organization Active NPI

Lifechoices Treatment Services, Inc

  • Substance Abuse Rehabilitation Facility
  • San Jose, CA
National Provider Identifier
1215178199
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
430049AN Issued in CA
Legal business name
LIFECHOICES TREATMENT SERVICES, INC
Practice address
1157 E Taylor St
San Jose, CA 95112-1658
Phone
(408) 971-7811
Fax
(408) 998-4337
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Mrs. Betty Licking
Title
Office Manager
Phone
(408) 799-7372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 430049AN CA Primary

Addresses

Primary practice location

1157 E Taylor St
San Jose, CA 95112-1658

Mailing address

1157 E Taylor St
San Jose, CA 95112-1658
Phone (408) 971-7811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1215178199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E TAYLOR ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121658",
            "telephone_number": "408-971-7811",
            "fax_number": "408-998-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 E TAYLOR ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121658",
            "telephone_number": "408-971-7811",
            "fax_number": "408-998-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHOICES TREATMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "LICKING",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-799-7372",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "430049AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.