Lifehouse Vocational Support, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LIFEHOUSE VOCATIONAL SUPPORT, LLC

Doing business as

Life House Services, LLC

Practice address

7837 S Kalispell Cir
Englewood, CO 80112-4647

Phone

(720) 280-1023

NPI assigned

Mar 15, 2018

Last updated

Apr 5, 2018By 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

Tracey Painter

Title

Ceo/Owner

Phone

(720) 280-1023

Specialties & licenses 2

Addresses

Other names 1

• Life House Services, LLC Doing business as

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1457854416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7837 S KALISPELL CIR",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124647",
            "telephone_number": "720-280-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7837 S KALISPELL CIR",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124647",
            "telephone_number": "720-280-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOUSE VOCATIONAL SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "720-280-1023"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life House Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Englewood, CO
• Providers in Englewood, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.