Lyfe Changing Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LYFE CHANGING SERVICES, LLC

Practice address

120 Mayflower LN
Raeford, NC 28376-9799

Phone

(910) 848-5855

Fax

(910) 848-5797

NPI assigned

Nov 5, 2012

Last updated

Nov 5, 2012By 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

Mrs. Aiofimi S. Black

Title

Owner

Phone

(910) 848-5855

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1437403052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAYFLOWER LN",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769799",
            "telephone_number": "910-848-5855",
            "fax_number": "910-848-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAYFLOWER LN",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283769799",
            "telephone_number": "910-848-5855",
            "fax_number": "910-848-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYFE CHANGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "AIOFIMI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-848-5855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.