Active NPI
Foudation for Better Living, Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Lehigh Acres, FL
National Provider Identifier
1598925141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 089319
- Legal business name
- FOUDATION FOR BETTER LIVING, INC
- Practice address
- 2612 29TH St SW
Lehigh Acres, FL 33976-4076 - Phone
- (239) 303-1689
- NPI assigned
- Jun 16, 2008
- Last updated
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo Lopez
- Title
- Director
- Phone
- (239) 303-1689
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 089319 | FL | Primary |
| Respite Care | 385H00000X | 089319 | FL |
Addresses
Primary practice location
2612 29TH St SW
Lehigh Acres, FL 33976-4076
Mailing address
2612 29TH St SW
Lehigh Acres, FL 33976-4076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691236296 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1598925141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 29TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339764076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 29TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339764076",
"telephone_number": "239-303-1689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUDATION FOR BETTER LIVING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "239-303-1689"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": "089319",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "FL",
"license": "089319",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "691236296",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.