Organization Active NPI

Life Skills Training Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Le Mars, IA
National Provider Identifier
1639253149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0744789MedicaidIA
0230201MedicaidIA
0423988MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.