Lift Day Activity Center

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

MHL-092-742 Issued in NC

Legal business name

LIFT DAY ACTIVITY CENTER

Practice address

701 E Young Street
Rolesville, NC 27571

Phone

(919) 569-9566

Fax

(919) 569-0269

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Brendex Renea Meeks

Title

Office Administrator

Phone

(919) 569-9566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1447485396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275911383",
            "telephone_number": "919-569-9566",
            "fax_number": "919-569-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E YOUNG STREET",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "27571",
            "telephone_number": "919-569-9566",
            "fax_number": "919-569-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT DAY ACTIVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "BRENDEX",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-569-9566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NC",
            "license": "MHL-092-742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Rolesville, NC
• Providers in Rolesville, NC by specialty
• PACE Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.