Active NPI
Leumas Lighted Life, LLC
- Community/Behavioral Health Agency
- Salem, VA
National Provider Identifier
1265820880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2019-01-001
- 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, 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
- Mrs. Shirley Hairston Everett
- Title
- Executive Director
- Phone
- (540) 354-5565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.