Life Changes Rehabilitation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LIFE CHANGES REHABILITATION

Practice address

550 E 4TH St
Reno, NV 89512-3316

Phone

(775) 338-4001

NPI assigned

Jan 16, 2018

Last updated

Jan 16, 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

Summer Willis

Title

Owner

Phone

(775) 388-4001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1487162137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123316",
            "telephone_number": "775-338-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123316",
            "telephone_number": "775-338-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-388-4001"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Libler, MSW, LCSW
• Ashley Librada
• Valjean Eugene Licon, LMFT
• Loth Lieberstein, M.D.
• Lisa Liebig, RN
• Life Changes, Inc.
• Lifecare Hospitals of Northern Nevada, Inc (Tahoe Pacific Hospital)
• Lifetime Learning & Services
• Lifetime Learning and Care, LLC
• Brandon Liggett

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Reno, NV
• Providers in Reno, NV by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.