Life Care Community LLC

Primary specialty

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

Legal business name

LIFE CARE COMMUNITY LLC

Practice address

4373 W Lennox Dr
South Jordan, UT 84009-9786

Phone

(385) 420-1249

NPI assigned

Apr 21, 2025

Last updated

Apr 21, 2025By 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

Venant Nsabimana Bigwi

Title

Executive Director

Phone

(385) 420-1249

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1487441937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 W LENNOX DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840099786",
            "telephone_number": "385-420-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 W LENNOX DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840099786",
            "telephone_number": "385-420-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "BIGWI",
        "authorized_official_first_name": "VENANT",
        "authorized_official_middle_name": "NSABIMANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "385-420-1249"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Leugers
• Rebecca J. Levine, M.D.
• John Edward Lewis
• Ryan D. Lewis, M.D.
• Meagen Leanne Liebhardt, MSN, APRN, FNP-C
• Kate Light
• David Joseph Lind, APRN, PMHNP-BC
• Robert Owyn Lindquist III, LSCW
• Stuart Lindsay, DDS
• Tessa A Linford, FNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.