Active NPI
Lifechoices
- Developmentally Disabled Services Day Training Agency
- Belmont, NC
National Provider Identifier
1558812461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 036-310
- Legal business name
- LIFECHOICES
- Practice address
- 6600 W Wilkinson Blvd
Belmont, NC 28012-2796 - Phone
- (704) 825-4161
- NPI assigned
- Oct 17, 2016
- Last updated
- Oct 17, 2016
- Organization subpart
- Yes
- Parent organization
- HOLY ANGELS INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Moody
- Title
- President/Ceo
- Phone
- (704) 825-4161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 036-310 | NC | Primary |
Addresses
Primary practice location
6600 W Wilkinson Blvd
Belmont, NC 28012-2796
Mailing address
225B Market St
Cramerton, NC 28032-1146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408854 | Medicaid | NC | |
| 1619310851 | Other | NC | STATE FUNDED |
National Provider Directory
National Provider Directory- Tax ID family
- Lifechoices
- Part of
- Lifechoices
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Belmont, NC
- NPI 1619310851
-
- Family Health Clinical Nurse Specialist
- Belmont, NC
- NPI 1770031130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476662400000",
"number": "1558812461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225B MARKET ST",
"city": "CRAMERTON",
"state": "NC",
"postal_code": "280321146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 W WILKINSON BLVD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280122796",
"telephone_number": "704-825-4161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECHOICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOLY ANGELS INC.",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A",
"authorized_official_last_name": "MOODY",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "704-825-4161"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NC",
"license": "036-310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408854",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FUNDED",
"identifier": "1619310851",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.