Organization Active NPI

Lifecycle II, LLC Dba Ima Inc.

  • Case Management Registered Nurse
  • Charlotte, NC
National Provider Identifier
1295629525
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
LIFECYCLE II, LLC DBA IMA INC.
Practice address
4000 Park Rd
Charlotte, NC 28209-2388
Phone
(704) 529-4411
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Ashley Summers, RNNPI 1356238711
Title
Nurse
Phone
(803) 269-7330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X Primary

Addresses

Primary practice location

4000 Park Rd
Charlotte, NC 28209-2388

Mailing address

531 S Main St Ste 300
Greenville, SC 29601-2556
Phone (803) 269-7330

National Provider Directory

National Provider Directory

Locations

4000 Park Rd
Charlotte, NC 28209
Phone (704) 529-4411

531 S Main St
Ste 300
Greenville, SC 29601
Phone (704) 340-5358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1295629525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S MAIN ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012556",
            "telephone_number": "803-269-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092388",
            "telephone_number": "704-529-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECYCLE II, LLC DBA IMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "803-269-7330",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.