Organization Active NPI

Life Skills Case Management, LLC

  • Early Intervention Provider Agency
  • Delray Beach, FL
National Provider Identifier
1356679203
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1550ADO82601 Issued in FL
Legal business name
LIFE SKILLS CASE MANAGEMENT, LLC
Practice address
1030 S Federal Hwy Ste 111
Delray Beach, FL 33483-5193
Phone
(561) 789-5577
Fax
(208) 975-1069
NPI assigned
Dec 3, 2009
Last updated
Dec 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Claudia Renee Hirsemann, CACNPI 1356610919
Title
Certified Addiction Counselor
Phone
(561) 789-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1550ADO82601 FL
Early Intervention Provider Agency 252Y00000X 1550ADO82601 FL Primary

Addresses

Primary practice location

1030 S Federal Hwy Ste 111
Delray Beach, FL 33483-5193

Mailing address

1030 S Federal Hwy Ste 111
Delray Beach, FL 33483-5193
Phone (561) 789-5577

National Provider Directory

National Provider Directory

Locations

1030 S Federal Hwy
Ste 111
Delray Beach, FL 33483
Phone (561) 789-5577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1356679203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S FEDERAL HWY STE 111",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835193",
            "telephone_number": "561-789-5577",
            "fax_number": "208-975-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S FEDERAL HWY STE 111",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835193",
            "telephone_number": "561-789-5577",
            "fax_number": "208-975-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS CASE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "HIRSEMANN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CERTIFIED ADDICTION COUNSELOR",
        "authorized_official_telephone_number": "561-789-5577",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "1550ADO82601",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "1550ADO82601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.