Life Cycles Guardianship Foundation, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LIFE CYCLES GUARDIANSHIP FOUNDATION, INC.

Practice address

8910 N Dale Mabry Hwy
Suite 23
Tampa, FL 33614-1591

Phone

(813) 933-2030

Fax

(813) 933-2070

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Wallace Tuttle, MA, RG, CMC

Title

Executive Director

Phone

(813) 933-2030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457423006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY",
            "address_2": "SUITE 23",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141591",
            "telephone_number": "813-933-2030",
            "fax_number": "813-933-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 N DALE MABRY HWY",
            "address_2": "SUITE 23",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141591",
            "telephone_number": "813-933-2030",
            "fax_number": "813-933-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CYCLES GUARDIANSHIP FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-933-2030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, RG, CMC"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.