NPIMap

Organization Active NPI

Lifetime Management LLC

  • Case Management Agency
  • Parkersburg, WV
National Provider Identifier
1639436405
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFETIME MANAGEMENT LLC
Practice address
1215 Avery St
Suite a
Parkersburg, WV 26101-4412
Phone
(304) 865-7505
Fax
(304) 865-0233
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Kiger
Title
Member
Phone
(304) 865-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1215 Avery St
Suite a
Parkersburg, WV 26101-4412

Mailing address

1215 Avery St
Suite a
Parkersburg, WV 26101-4412
Phone (304) 865-7505

Other identifiers 1

IdentifierTypeStateIssuer
3810022725MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1639436405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 AVERY ST",
            "address_2": "SUITE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014412",
            "telephone_number": "304-865-7505",
            "fax_number": "304-865-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 AVERY ST",
            "address_2": "SUITE A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261014412",
            "telephone_number": "304-865-7505",
            "fax_number": "304-865-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "KIGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-865-7505"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022725",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.