Life House Recovery Homes, Inc.

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

LIFE HOUSE RECOVERY HOMES, INC.

Practice address

22280 Main St
Hayward, CA 94541-4005

Phone

(510) 999-7901

Fax

(510) 315-1231

NPI assigned

Mar 25, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Tara Nicole Whitaker

Title

Office Manager

Phone

(510) 999-7901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1346827409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22280 MAIN ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414005",
            "telephone_number": "510-999-7901",
            "fax_number": "510-315-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22280 MAIN ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414005",
            "telephone_number": "510-999-7901",
            "fax_number": "510-315-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOUSE RECOVERY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-999-7901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rui Li
• Xin Li
• Wen Ching Liao
• Vinson Lieu, DC
• Life Chiropractic College West
• Lifelong Medical Care
• Jeremy Lightell, LCSW
• Jane Lim
• Joanne Lim
• Valerie A Lim, O.D.

• Addiction Medicine (Preventive Medicine) Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Addiction Medicine (Preventive Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.