Life Enhancement Services of SC, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE ENHANCEMENT SERVICES OF SC, LLC

Practice address

3040 E Highway 76
Ste 111
Mullins, SC 29574-7396

Phone

(980) 265-1064

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Herbert Gray

Title

Ceo Owner

Phone

(980) 265-1064

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1659755684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR",
            "address_2": "STE 111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628552",
            "telephone_number": "980-265-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E HIGHWAY 76",
            "address_2": "STE 111",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295747396",
            "telephone_number": "980-265-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES OF SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "980-265-1064"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanashi Sherell Leonard
• Tanesha Leonard
• Donna Lewis
• Katie Atkinson Lewis, OTR/L
• Latoria Moniek Lewis, LPC-A, NBCC
• Life Enhancement Services, Inc
• Life Link Ambulance Service
• Life-Savers Medical Transport,LLC
• Dwayne J Livigni, DO
• Living by Grace

• Home Health Agency in Mullins, SC
• Providers in Mullins, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.