Active NPI
Resilient Life Care, LLC
Doing business as Resilient Life Care
- Rehabilitation Clinic/Center
- La Grange, KY
National Provider Identifier
1215407408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- RESILIENT LIFE CARE, LLC
- Doing business as
- Resilient Life Care
- Practice address
- 1512 W Highway 42
La Grange, KY 40031-9554 - Phone
- (512) 826-1243
- NPI assigned
- Nov 29, 2018
- Last updated
- Mar 28, 2022
- 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
- Chad Fife
- Title
- Cfo
- Phone
- (734) 482-1200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
1512 W Highway 42
La Grange, KY 40031-9554
Mailing address
17187 N Laurel Park Dr Ste 160
Livonia, MI 48152-2692
Phone (734) 482-1200
Other names 1
- Resilient Life Care
National Provider Directory
National Provider Directory- Tax ID family
- Resilient Life Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Ann Arbor, MI
- NPI 1396316832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648425600000",
"number": "1215407408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17187 N LAUREL PARK DR STE 160",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522692",
"telephone_number": "734-482-1200",
"fax_number": "734-482-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 W HIGHWAY 42",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400319554",
"telephone_number": "512-826-1243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENT LIFE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-29",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A",
"authorized_official_last_name": "FIFE",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "734-482-1200"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Resilient Life Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Resilient Life Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.