Organization Active NPI

Lifes Choices L.L.C

Doing business as 1St Choice

  • Assisted Living Facility (Behavioral Disturbances)
  • Antioch, CA
National Provider Identifier
1649021577
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
LIFES CHOICES L.L.C
Doing business as
1St Choice
Practice address
1824 Starr King CT
Antioch, CA 94531-9075
Phone
(917) 676-9966
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Andrea White
Title
Licensee
Phone
(917) 676-9966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU Primary

Addresses

Primary practice location

1824 Starr King CT
Antioch, CA 94531-9075

Mailing address

1824 Starr King CT
Antioch, CA 94531-9075
Phone (917) 676-9966

Other identifiers 1

IdentifierTypeStateIssuer
079201335MedicaidCA

Other names 1

  • 1ST CHOICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1649021577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 STARR KING CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319075",
            "telephone_number": "917-676-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 STARR KING CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319075",
            "telephone_number": "917-676-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES CHOICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "917-676-9966"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079201335",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1ST CHOICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.