NPIMap

Organization Active NPI

Life Center of America

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1417162785
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100079AN Issued in CA
Legal business name
LIFE CENTER OF AMERICA
Practice address
930 N Van Ness Ave
Fresno, CA 93728-3428
Phone
(559) 237-0072
NPI assigned
May 11, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mr. David Charles Hartfield Jr., M.DIV
Title
Director
Phone
(559) 237-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100079AN CA Primary

Addresses

Primary practice location

930 N Van Ness Ave
Fresno, CA 93728-3428

Mailing address

930 N Van Ness Ave
Fresno, CA 93728-3428
Phone (559) 237-0072

National Provider Directory

National Provider Directory
Tax ID family
Life Center of America10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1417162785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283428",
            "telephone_number": "559-237-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283428",
            "telephone_number": "559-237-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CENTER OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "HARTFIELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-237-0072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.DIV"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "100079AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.