NPIMap

Organization Active NPI

The Life Center Complex, Inc.

  • Student Health Clinic/Center
  • New Castle, DE
National Provider Identifier
1275014367
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
THE LIFE CENTER COMPLEX, INC.
Practice address
795 Cox Neck Rd
New Castle, DE 19720
Phone
(302) 552-3574
Fax
(302) 552-3561
NPI assigned
Aug 27, 2018
Organization subpart
Yes
Parent organization
THE LIFE CENTER COMPLEX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Forrest Watson
Title
Ceo
Phone
(302) 552-3574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

795 Cox Neck Rd
New Castle, DE 19720

Mailing address

222 Philadelphia Pike Ste 13
Wilmington, DE 19809-3166
Phone (025) 523-5743

Other names 2

  • Life Health @ Southern Doing business as
  • The Life Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Life Center Complex Inc32 organizations share this tax ID, including this one
Part of
The Life Center Complex Inc

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1275014367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PHILADELPHIA PIKE STE 13",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093166",
            "telephone_number": "025-523-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 COX NECK RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "19720",
            "telephone_number": "302-552-3574",
            "fax_number": "302-552-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE CENTER COMPLEX, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LIFE CENTER COMPLEX, INC.",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-552-3574"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Health @ Southern",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Life Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.