Active NPI
Life Skills Training Center, Inc.
- Developmentally Disabled Services Day Training Agency
- Le Mars, IA
National Provider Identifier
1639253149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- LIFE SKILLS TRAINING CENTER, INC.
- Practice address
- 1510 Industrial Rd SW
Le Mars, IA 51031-3009 - Phone
- (712) 546-9554
- Fax
- (712) 546-4985
- NPI assigned
- Oct 24, 2006
- 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
- Donald D Nore
- Title
- Executive Director
- Phone
- (712) 546-9554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1510 Industrial Rd SW
Le Mars, IA 51031-3009
Mailing address
1510 Industrial Rd SW
P.O. Box 1506
Le Mars, IA 51031-3009
Phone (712) 546-9554
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0744789 | Medicaid | IA | |
| 0230201 | Medicaid | IA | |
| 0423988 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1510 Industrial Rd SW
Le Mars, IA 51031
Phone (712) 546-9554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639253149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 INDUSTRIAL RD SW",
"address_2": "P.O. BOX 1506",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313009",
"telephone_number": "712-546-9554",
"fax_number": "712-546-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 INDUSTRIAL RD SW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313009",
"telephone_number": "712-546-9554",
"fax_number": "712-546-4985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SKILLS TRAINING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NORE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "712-546-9554"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0744789",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0230201",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0423988",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.