Lifeworks Substance Abuse Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIFEWORKS SUBSTANCE ABUSE SERVICES LLC

Practice address

4678 Tamiami TRL
#105
Port Charlotte, FL 33980-2900

Phone

(941) 979-5023

Fax

(941) 979-5064

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rhoadie Ladd

Title

Ceo

Phone

(941) 979-5023

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Shirkey, C.A.P.

  • Addiction (Substance Use Disorder) Counselor
  • Port Charlotte, FL
  • NPI 1780089557
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1487055919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 TAMIAMI TRL",
            "address_2": "#105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802900",
            "telephone_number": "941-979-5023",
            "fax_number": "941-979-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 TAMIAMI TRL",
            "address_2": "#105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802900",
            "telephone_number": "941-979-5023",
            "fax_number": "941-979-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS SUBSTANCE ABUSE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "RHOADIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-979-5023",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8565",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "MH8565",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy R Lieb, PTA
• Life Transitions Inc
• Lifeline Health Care of Southwest Florida, Inc. (Lifeline Home Health Care)
• Lifeline Home Health Care of Port Charlotte, LLC (Lifeline Health Care of Port Charlotte)
• Lifestyle Hearing Aid Center, LC
• Cameron Maria Light, LM CPM
• Lighthouse Addiction Services
• Kevin Douglas Lille, PAC
• Peter Lin, MD
• Lincare Inc. (Patients First)

• Substance Abuse Rehabilitation Facility in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.