Active NPI
Lifechoices Treatment Services, Inc
- Substance Abuse Rehabilitation Facility
- San Jose, CA
National Provider Identifier
1215178199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 430049AN
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Life Giving Health Care
- Life in Harmony Therapy Center for Healing and Hope
- Life in Motion Therapy
- Life Tree Wellness Center
- Lifecare Solutions Inc
- Lifehouse San Jose Operations, LLC
- Lifeline Home Health Care LLC
- Lifemoves - Autumn Satellite Clinic
- Lifemoves - Julian Street Inn
- Lifemoves - Montgomery Street Inn
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.