Organization Active NPI

L. I. F. E. Support S., Inc.

  • Case Management Agency
  • Pinellas Park, FL
National Provider Identifier
1316126865
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
L. I. F. E. SUPPORT S., INC.
Practice address
5580 Park Blvd Ste 9
Pinellas Park, FL 33781-3328
Phone
(727) 547-6250
Fax
(727) 547-6260
NPI assigned
Nov 1, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mrs. Elizabeth Jean Kelzer
Title
President/Owner
Phone
(727) 547-6250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

5580 Park Blvd Ste 9
Pinellas Park, FL 33781-3328

Mailing address

5580 Park Blvd Ste 9
Pinellas Park, FL 33781-3328
Phone (727) 547-6250

National Provider Directory

National Provider Directory

Locations

5580 Park Blvd N
Ste 9
Pinellas Park, FL 33781
Phone (727) 547-6250

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1316126865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD STE 9",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-547-6250",
            "fax_number": "727-547-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD STE 9",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-547-6250",
            "fax_number": "727-547-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. I. F. E. SUPPORT S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "KELZER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "727-547-6250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.