Organization Active NPI

Life Enhancement Services LLC

  • Community/Behavioral Health Agency
  • Emporia, VA
National Provider Identifier
1285990408
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE ENHANCEMENT SERVICES LLC
Practice address
100 Brunswick Ave
Emporia, VA 23847-2028
Phone
(434) 336-1103
Fax
(434) 336-1105
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Bernice L Lee, M.ED, BA, CSAC-I
Title
Manager/Program Director
Phone
(252) 287-7870

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

100 Brunswick Ave
Emporia, VA 23847-2028

Mailing address

100 Brunswick Ave
Emporia, VA 23847-2028
Phone (434) 336-1103

National Provider Directory

National Provider Directory

Locations

100 Brunswick Ave
Emporia, VA 23847
Phone (434) 336-1103

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1285990408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRUNSWICK AVE",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238472028",
            "telephone_number": "434-336-1103",
            "fax_number": "434-336-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRUNSWICK AVE",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238472028",
            "telephone_number": "434-336-1103",
            "fax_number": "434-336-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "252-287-7870",
        "authorized_official_credential": "M.ED, BA, CSAC-I"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.