Lord'S Legacy Life Ministries, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LORD'S LEGACY LIFE MINISTRIES, INC.

Practice address

205 Kevin Dr
Nicholasville, KY 40356-1282

Phone

(859) 881-1262

Fax

(859) 881-1268

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Jeanene Mader

Title

President

Phone

(859) 881-1262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255464475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 KEVIN DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561282",
            "telephone_number": "859-881-1262",
            "fax_number": "859-881-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 KEVIN DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561282",
            "telephone_number": "859-881-1262",
            "fax_number": "859-881-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORD'S LEGACY LIFE MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADER",
        "authorized_official_first_name": "JEANENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-881-1262"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33001546",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amanda Lyons, LMFT

• Developmentally Disabled Services Day Training Agency in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Developmentally Disabled Services Day Training Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.