Active NPI
Life Enhancement Services LLC
- Community/Behavioral Health Agency
- Emporia, VA
National Provider Identifier
1285990408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.