NPIMap

Organization Active NPI

Life-Skills, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Fitchburg, MA
National Provider Identifier
1396953253
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LIFE-SKILLS, INC.
Practice address
170 Falulah St
Fitchburg, MA 01420-8132
Phone
(978) 348-1502
Fax
(508) 949-6129
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Mr. James Thomas Amick, M.S.
Title
Ceo
Phone
(508) 949-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

170 Falulah St
Fitchburg, MA 01420-8132

Mailing address

44 Morris St
Webster, MA 01570-1812
Phone (508) 949-8080

Other identifiers 1

IdentifierTypeStateIssuer
1309706MedicaidMA

Other names 1

  • Southern Worcester County Rehab Center, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Life-Skills Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

170 Falulah St
Fitchburg, MA 01420
Phone (978) 348-1502

44 Morris St
Webster, MA 01570
Phone (508) 949-8080

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1396953253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MORRIS ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015701812",
            "telephone_number": "508-949-8080",
            "fax_number": "508-949-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FALULAH ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208132",
            "telephone_number": "978-348-1502",
            "fax_number": "508-949-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-SKILLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "AMICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-949-8080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309706",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Worcester County Rehab Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.