Lifetime Support Services LLC

Primary specialty

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

Legal business name

LIFETIME SUPPORT SERVICES LLC

Practice address

200 N 16TH St Apt 612
Philadelphia, PA 19102-1219

Phone

(215) 593-5654

NPI assigned

Jul 6, 2023

Last updated

Jul 6, 2023By 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

Franck Bosso

Title

Chiefn Financial Officer

Phone

(215) 593-5654

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1518645092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST APT 612",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021219",
            "telephone_number": "215-593-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST APT 612",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021219",
            "telephone_number": "215-593-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "BOSSO",
        "authorized_official_first_name": "FRANCK",
        "authorized_official_title_or_position": "CHIEFN FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-593-5654"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.