Life Support Community Service Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE SUPPORT COMMUNITY SERVICE INC

Practice address

782 NW 42ND Ave Ste 348
Miami, FL 33126-5550

Phone

(305) 690-2148

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Manuel Diaz Abreu

Title

Owner/President

Phone

(305) 690-2148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1295383032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE STE 348",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265550",
            "telephone_number": "305-690-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE STE 348",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265550",
            "telephone_number": "305-690-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT COMMUNITY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ ABREU",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-690-2148"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Pharmacy and Discount LLC
• Life Physical Therapy, LLC
• Life Residential LLC
• Life Skills Management Services LLC
• Life Spring Research Foundation
• Life Time Alf Co
• Life'S Secret Corp
• Lifecare Med Center LLC
• Lifecare Medical Center Group LLC
• Lifeline Home Healthcare Providers, Inc.

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.