Active NPI
Life Skills Training and Educational Programs, Inc.
- Case Manager/Care Coordinator
- Sacramento, CA
National Provider Identifier
1285059790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.
- Practice address
- 3247 Ramos Cir
Sacramento, CA 95827-2501 - Phone
- (916) 965-0110
- Fax
- (916) 965-0102
- NPI assigned
- Feb 20, 2014
- 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
- Beth Southorn
- Title
- Executive Director
- Phone
- (916) 965-0110
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Supports Brokerage Agency | 251X00000X |
Addresses
Primary practice location
3247 Ramos Cir
Sacramento, CA 95827-2501
Mailing address
3247 Ramos Cir
Sacramento, CA 95827-2501
Phone (916) 965-0110
National Provider Directory
National Provider Directory- Tax ID family
- Life Skills Training and Educational Programs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Fair Oaks, CA
- NPI 1679929996
Locations
3247 Ramos Cir
Sacramento, CA 95827
Phone (916) 917-7210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1285059790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3247 RAMOS CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272501",
"telephone_number": "916-965-0110",
"fax_number": "916-965-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3247 RAMOS CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272501",
"telephone_number": "916-965-0110",
"fax_number": "916-965-0102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-20",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "SOUTHORN",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "916-965-0110"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.