Lifestyle Community Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFESTYLE COMMUNITY SERVICES LLC

Practice address

2460 SW 137TH Ave Ste 251-252
Miami, FL 33175-8803

Phone

(315) 802-9929

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Yamil Perez ConcepcionNPI 1982286084

Title

Owner/President

Phone

(315) 802-9929

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yamil Perez Concepcion

  • Case Manager/Care Coordinator
  • Miami, FL
  • NPI 1982286084

  Case Management

  NPD Authorized official

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1679117113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 SW 137TH AVE STE 251-252",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758803",
            "telephone_number": "315-802-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 SW 137TH AVE STE 251-252",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758803",
            "telephone_number": "315-802-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ CONCEPCION",
        "authorized_official_first_name": "YAMIL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "315-802-9929"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.