Organization Active NPI

Lifted Lives, LLC

  • Non-emergency Medical Transport (VAN)
  • Lafayette, LA
National Provider Identifier
1265800361
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
008267863 Issued in LA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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": []
}

Other providers in Lafayette, LA

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.

Verify at the official NPI Registry.