NPIMap

Organization Active NPI

Life Enhancement Services LLC

  • Community/Behavioral Health Agency
  • Chadbourn, NC
National Provider Identifier
1316247190
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL024086 Issued in NC
Legal business name
LIFE ENHANCEMENT SERVICES LLC
Practice address
1449 Joe Brown Hwy N
Chadbourn, NC 28431-7211
Phone
(910) 738-4000
NPI assigned
Oct 27, 2010
Last updated
Oct 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Herbert Gray
Title
Ceo
Phone
(910) 738-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL024086 NC Primary

Addresses

Primary practice location

1449 Joe Brown Hwy N
Chadbourn, NC 28431-7211

Mailing address

401 E 11TH St
Lumberton, NC 28358-4807

National Provider Directory

National Provider Directory
Tax ID family
Life Enhancement Services23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1449 Joe Brown Hwy N
Chadbourn, NC 28431
Phone (910) 738-4000

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1316247190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 11TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 JOE BROWN HWY N",
            "city": "CHADBOURN",
            "state": "NC",
            "postal_code": "284317211",
            "telephone_number": "910-738-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-738-4000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL024086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadbourn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.