Life Go's on Transitional Organization

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE GO'S ON TRANSITIONAL ORGANIZATION

Practice address

2600 Fenkell St
Detroit, MI 48238-2819

Phone

(313) 310-6258

NPI assigned

Nov 16, 2013

Last updated

Nov 16, 2013By 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

Juanna Cherise Hardaway

Title

Owner

Phone

(313) 310-6258

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384560000000",
    "number": "1598195240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 FULLERTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383234",
            "telephone_number": "313-310-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382819",
            "telephone_number": "313-310-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GO'S ON TRANSITIONAL ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "JUANNA",
        "authorized_official_middle_name": "CHERISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-310-6258"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Challenge of Southeastern Michigan
• Life Changing Crisis & Respite Center
• Life Encouragement Outreach Ministries
• Life Essentials Home Health Care, Inc
• Life Freedom Counseling LLC
• Life Is Love Thinking
• Life Learning Intervention Services LLC
• Life Redemption LLC
• Life Saver Wings
• Life- Alysis Kidney Center, LLC

• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; 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.