NPIMap

Organization Active NPI

Lifecare Family Services

  • Community/Behavioral Health Agency
  • Jamestown, TN
National Provider Identifier
1437472248
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6060 Issued in TN
Legal business name
LIFECARE FAMILY SERVICES
Practice address
1911 Michigan Avenue
Jamestown, TN 38556
Phone
(931) 879-9980
Fax
(931) 879-9988
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Landon Kent Mauck, BBA
Title
HR Coordinator
Phone
(615) 781-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6060 TN Primary

Addresses

Primary practice location

1911 Michigan Avenue
Jamestown, TN 38556

Mailing address

1911 Michigan Avenue
Jamestown, TN 38556
Phone (931) 879-9980

Other identifiers 1

IdentifierTypeStateIssuer
3376955OtherTNGROUP MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Family Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1911 Michigan Ave
Jamestown, TN 38556
Phone (931) 879-9980

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": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1437472248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MICHIGAN AVENUE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-879-9980",
            "fax_number": "931-879-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MICHIGAN AVENUE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-879-9980",
            "fax_number": "931-879-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "MAUCK",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "615-781-0013",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "6060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "3376955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.