NPIMap

Organization Active NPI

Life Enhancement Services, Inc

  • Home Health Agency
  • Mullins, SC
National Provider Identifier
1255727616
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE ENHANCEMENT SERVICES, INC
Practice address
3040 E Highway 76
Suite C
Mullins, SC 29574-7396
Phone
(980) 265-1064
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Herbert Gray
Title
Ceo Owner
Phone
(704) 560-4332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3040 E Highway 76
Suite C
Mullins, SC 29574-7396

Mailing address

9700 Research Dr
Ste 111
Charlotte, NC 28262-8552

National Provider Directory

National Provider Directory
Tax ID family
Life Enhancement Services Inc2 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.

Locations

9700 Research Dr
Ste 111
Charlotte, NC 28262
Phone (704) 342-9595

3040 E Highway 76
Ste C
Mullins, SC 29574
Phone (980) 265-1064

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1255727616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR",
            "address_2": "STE 111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E HIGHWAY 76",
            "address_2": "SUITE C",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295747396",
            "telephone_number": "980-265-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "704-560-4332"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.