Organization Active NPI

Leumas Lighted Life, LLC

  • Community/Behavioral Health Agency
  • Salem, VA
National Provider Identifier
1265820880
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2019-01-001 Issued in VA
Legal business name
LEUMAS LIGHTED LIFE, LLC
Practice address
32 W Clay St
Salem, VA 24153-3754
Phone
(540) 354-5565
Fax
(540) 387-0058
NPI assigned
Jan 5, 2015
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Mrs. Shirley Hairston Everett
Title
Executive Director
Phone
(540) 354-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2019-01-001 VA Primary

Addresses

Primary practice location

32 W Clay St
Salem, VA 24153-3754

Mailing address

32 W Clay St
Salem, VA 24153-3754
Phone (540) 354-5565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1265820880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W CLAY ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533754",
            "telephone_number": "540-354-5565",
            "fax_number": "540-387-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W CLAY ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533754",
            "telephone_number": "540-354-5565",
            "fax_number": "540-387-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEUMAS LIGHTED LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "HAIRSTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-354-5565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2019-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.