NPIMap

Organization Active NPI

Life Enrichment Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Northport, AL
National Provider Identifier
1386823185
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
G8357354H Issued in AL
Legal business name
LIFE ENRICHMENT SERVICES
Practice address
9100 Baptist Campground Rd
Suite B
Northport, AL 35473-8075
Phone
(205) 242-3577
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Ms. Aretha L Ball
Title
Director
Phone
(205) 339-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X G8357354H AL Primary

Addresses

Primary practice location

9100 Baptist Campground Rd
Suite B
Northport, AL 35473-8075

Mailing address

9100 Baptist Campground Rd
Suite B
Northport, AL 35473-8075
Phone (205) 242-3577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1386823185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BAPTIST CAMPGROUND RD",
            "address_2": "SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354738075",
            "telephone_number": "205-242-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BAPTIST CAMPGROUND RD",
            "address_2": "SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354738075",
            "telephone_number": "205-242-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "ARETHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-339-8300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": "G8357354H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.