Lift Responders

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFT RESPONDERS

Practice address

8108 Burgwyn LN
Willow Spring, NC 27592

Phone

(919) 902-3414

NPI assigned

May 8, 2018

Last updated

May 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Myron Jerel KingNPI 1790471811

Title

Owner

Phone

(919) 902-3414

Specialties & licenses 1

Addresses

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.

• Myron Jerel King, AUTHORIZED AGENT

  • Supports Brokerage Agency
  • Oviedo, FL
  • NPI 1790471811
  NPD Authorized official

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1356830905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 BURGWYN LN",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275928960",
            "telephone_number": "919-902-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8108 BURGWYN LN",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "27592",
            "telephone_number": "919-902-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT RESPONDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "JEREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-902-3414"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Bradley Hiatt
• House of Care, Inc
• Impact Youth and Family Services, Inc.
• Kisha Monique Lendore
• Lifegate Residential Care
• Jamie Macbride
• Maureen Kane Mann, DPT
• Renota McKay, BSRT, RRT, RCP
• Jacquelyn G Mercer
• Ashley N Moran, LMSW

• Adult Mental Health Clinic/Center in Willow Spring, NC
• Providers in Willow Spring, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.