Organization Active NPI

Resilient Life Care, LLC

Doing business as Resilient Life Care

  • Rehabilitation Clinic/Center
  • La Grange, KY
National Provider Identifier
1215407408
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Resilient Life Care2 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": "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.

Verify at the official NPI Registry.