Organization Active NPI

Lifesafe Security Corporation

  • Personal Emergency Response Attendant
  • Dyersburg, TN
National Provider Identifier
1376609230
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
Legal business name
LIFESAFE SECURITY CORPORATION
Practice address
5324 Highway 104 West
Dyersburg, TN 38024
Phone
(731) 286-1083
Fax
(731) 287-1352
NPI assigned
Dec 28, 2006
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Amy Finley Smith
Title
Operations Manager
Phone
(731) 286-1083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 146D00000X Primary

Addresses

Primary practice location

5324 Highway 104 West
Dyersburg, TN 38024

Mailing address

PO Box 645
Finley, TN 38030-0645
Phone (731) 286-1083

Other identifiers 1

IdentifierTypeStateIssuer
0803974MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1376609230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "FINLEY",
            "state": "TN",
            "postal_code": "380300645",
            "telephone_number": "731-286-1083",
            "fax_number": "731-287-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 HIGHWAY 104 WEST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-286-1083",
            "fax_number": "731-287-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESAFE SECURITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "FINLEY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "731-286-1083"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.