NPIMap

Organization Active NPI

Lifecare Family Services

  • Community/Behavioral Health Agency
  • Pulaski, TN
National Provider Identifier
1245484005
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFECARE FAMILY SERVICES
Practice address
919 E College St
Pulaski, TN 38478-4432
Phone
(615) 781-0013
Fax
(615) 627-1441
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFECARE FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Landon Kent Mauck, BBA
Title
HR Coordinator
Phone
(615) 781-0013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X TN
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

919 E College St
Pulaski, TN 38478-4432

Mailing address

919 E College St
Pulaski, TN 38478-4432
Phone (615) 781-0013

Other identifiers 1

IdentifierTypeStateIssuer
3376955OtherTNGROUP MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Family Services8 organizations share this tax ID, including this one
Part of
Lifecare Family Services

Other organizations with this tax ID 7

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

Locations

919 E College St
Pulaski, TN 38478
Phone (931) 207-1160

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1245484005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784432",
            "telephone_number": "615-781-0013",
            "fax_number": "615-627-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784432",
            "telephone_number": "615-781-0013",
            "fax_number": "615-627-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECARE FAMILY SERVICES",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "MAUCK",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "615-781-0013",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "3376955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.