Lifestyles

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

LIFESTYLES

Practice address

4385 E Wild Elk TRL
Flagstaff, AZ 86004-7921

Phone

(928) 326-0044

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By 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

Mr. Dwight C Boyd, N-A

Title

Ceo

Phone

(928) 326-0044

Specialties & licenses 1

Addresses

Other names 1

• Bakken Bandits Transport, LLC Former legal business name

Tax ID family

Assisted Lifestyles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Assisted Lifestyles

  • Preferred Provider Organization
  • Flagstaff, AZ
  • NPI 1649718347
  NPD tax ID

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1497299101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 E WILD ELK TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047921",
            "telephone_number": "928-326-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 E WILD ELK TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047921",
            "telephone_number": "928-326-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-326-0044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N-A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bakken Bandits Transport, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephen F Lex, MD
• LHCG Lxxvii, LLC (Northern Arizona Home Health)
• Michael Tanner Libsack, DO
• Raymond Wolfgang Lieber, PA-C
• Emily R Lieder, DO
• Rebecca Segura Lightner, MS CCC-SLP
• Khadga Limbu, MD
• Lincare Inc.
• Deborah L Lindquist, M.D.
• Rachel Connie Lindquist, APRN FNP-C

• Exclusive Provider Organization in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.