Life Christian Outreach

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

LIFE CHRISTIAN OUTREACH

Practice address

10900 E Highway WW
Columbia, MO 65201-8778

Phone

(573) 449-6711

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By 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

Greg Ordway

Title

Director

Phone

(573) 449-6711

Specialties & licenses 1

Addresses

Tax ID family

Life Christian Outreach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Life Christain Outreach

  dba Life Enterprises

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Columbia, MO
  • NPI 1508103896
  NPD tax ID

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396885620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 E HIGHWAY WW",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018778",
            "telephone_number": "573-449-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 E HIGHWAY WW",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018778",
            "telephone_number": "573-449-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHRISTIAN OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-449-6711"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teniya Necole Lewis
• Jiang Li, MD
• Leyi Li, M.D.
• Ross Licklider, RN
• Life Christain Outreach (Life Enterprises)
• Life Christian Outreach, Inc. (LIFE Homes)
• Life Work Counseling, LLC
• Dennis L. Life, D.P.M.
• Lifepath of Mid-Missouri
• Lifetime Services of Missouri, Inc.

• Child Intellectual and/or Developmental Disabilities Respite Care in Columbia, MO
• Providers in Columbia, MO by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.