NPIMap

Organization Active NPI

Life Enhancement Services, LLC

  • Case Management Agency
  • Gastonia, NC
National Provider Identifier
1487888475
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFE ENHANCEMENT SERVICES, LLC
Practice address
701 E 2ND Ave
Suite 5
Gastonia, NC 28054-7144
Phone
(704) 342-9595
NPI assigned
May 6, 2009
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Mr. Herb Gray
Title
Owner
Phone
(704) 342-9595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

701 E 2ND Ave
Suite 5
Gastonia, NC 28054-7144

Mailing address

500 E Morehead St
110
Charlotte, NC 28202-2616
Phone (704) 342-9595

National Provider Directory

National Provider Directory
Tax ID family
Life Enhancement Services23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

500 E Morehead St
#110
Charlotte, NC 28202

701 E 2nd Ave
Ste 5
Gastonia, NC 28054
Phone (704) 342-9595

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1487888475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MOREHEAD ST",
            "address_2": "110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022616",
            "telephone_number": "704-342-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 2ND AVE",
            "address_2": "SUITE 5",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547144",
            "telephone_number": "704-342-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-342-9595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.