NPIMap

Organization Active NPI

Life Enhancement Services

  • Case Management Agency
  • Winston Salem, NC
National Provider Identifier
1225260615
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFE ENHANCEMENT SERVICES
Practice address
889 N Liberty St
Winston Salem, NC 27101-3040
Phone
(704) 560-4332
Fax
(704) 342-9584
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Mr. Herb Gray
Title
Ceo
Phone
(704) 560-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

889 N Liberty St
Winston Salem, NC 27101-3040

Mailing address

889 N Liberty St
Winston Salem, NC 27101-3040
Phone (704) 560-4332

National Provider Directory

National Provider Directory
Tax ID family
Life Enhancement Services23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

889 N Liberty St
Winston Salem, NC 27101
Phone (704) 560-4332

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1225260615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 N LIBERTY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013040",
            "telephone_number": "704-560-4332",
            "fax_number": "704-342-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 N LIBERTY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013040",
            "telephone_number": "704-560-4332",
            "fax_number": "704-342-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-560-4332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.