Lifetouch Center

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

16235 Issued in NC

Legal business name

LIFETOUCH CENTER

Practice address

414 Otteray Ave
High Point, NC 27262-2918

Phone

(276) 229-7927

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Antonio Edwards Sr., BSQP

Title

Director/QP

Phone

(336) 862-5013

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1659614790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 BALLARD CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847936",
            "telephone_number": "276-229-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OTTERAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622918",
            "telephone_number": "276-229-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETOUCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR/QP",
        "authorized_official_telephone_number": "336-862-5013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BSQP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "16235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Larae Lewis, SLP
• Life Anew Companion Health Care
• Life Enhancement Services
• Life Mind Alliance
• Life Support of the Piedmont
• Lifetouch Human Services
• Hannah Light
• Alexander Jung-Hwan Lim, MD
• Sheri Davis Lim, DO
• Jimmy Lin, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in High Point, NC
• Providers in High Point, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.