Lifespark Homes LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LIFESPARK HOMES LLC

Practice address

24931 Signorelli Way
Katy, TX 77493-4268

Phone

(763) 442-0749

NPI assigned

Nov 21, 2021

Last updated

Nov 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry C Iweajunwa, FNP-CNPI 1518622562

Title

Manager

Phone

(763) 442-0749

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry C Iweajunwa

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1518622562
  NPD Authorized official

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1215694500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24931 SIGNORELLI WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934268",
            "telephone_number": "763-442-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24931 SIGNORELLI WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774934268",
            "telephone_number": "763-442-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPARK HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "IWEAJUNWA",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-442-0749",
        "authorized_official_credential": "FNP-C"
    },
    "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": []
}

• Life's Solutions Hospice Care ,Inc
• Lifecare Options Home Health Services Inc
• Lifedoctor PLLC
• Lifelong Advocacy & Support Coordination LLC
• Lifesculpt, LLC (LifeSculpt)
• Lifetime Healthcare Inc (Home Care of Texas)
• Maranatha Liga, LCSW
• McKenna Nicole Light, RBT, CPR
• Randall M Lim
• Vicky Li-Ching Lim, LPC-A

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Katy, TX
• Providers in Katy, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.