Active NPI
Lifted Lives, LLC
- Non-emergency Medical Transport (VAN)
- Lafayette, LA
National Provider Identifier
1265800361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 008267863
- Legal business name
- LIFTED LIVES, LLC
- Practice address
- 111 Windmill LN
Lafayette, LA 70501-1753 - Phone
- (337) 280-8336
- NPI assigned
- Sep 4, 2015
- Last updated
- Sep 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert Deville
- Title
- Owner
- Phone
- (337) 280-8336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 008267863 | LA | Primary |
Addresses
Primary practice location
111 Windmill LN
Lafayette, LA 70501-1753
Mailing address
PO Box 92022
Lafayette, LA 70509-2022
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441324800000",
"number": "1265800361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92022",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705092022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WINDMILL LN",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705011753",
"telephone_number": "337-280-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFTED LIVES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-04",
"last_updated": "2015-09-04",
"status": "A",
"authorized_official_last_name": "DEVILLE",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-280-8336"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "LA",
"license": "008267863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.