Organization Active NPI

Life Enrichment Services LLC

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1396574786
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LIFE ENRICHMENT SERVICES LLC
Practice address
8330 Arlene St
Anchorage, AK 99502-4615
Phone
(907) 830-1455
Fax
(907) 258-0444
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Paul Charles Jacks, B.ANPI 1134334758
Title
Owner/Care Coordinator
Phone
(907) 830-1455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

8330 Arlene St
Anchorage, AK 99502-4615

Mailing address

8330 Arlene St
Anchorage, AK 99502-4615
Phone (907) 830-1455

National Provider Directory

National Provider Directory

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": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1396574786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 ARLENE ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024615",
            "telephone_number": "907-830-1455",
            "fax_number": "907-258-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 ARLENE ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024615",
            "telephone_number": "907-830-1455",
            "fax_number": "907-258-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENRICHMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "JACKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/CARE COORDINATOR",
        "authorized_official_telephone_number": "907-830-1455",
        "authorized_official_credential": "B.A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.