Lifeshare Midwest, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

201000005C Issued in IL

Legal business name

LIFESHARE MIDWEST, LLC

Practice address

155 Dow St
Suite 300
Manchester, NH 03101-1299

Phone

(603) 625-8825

Fax

(603) 625-8875

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Joshua P. Boynton

Title

Manager

Phone

(603) 491-1762

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1679816045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DOW ST",
            "address_2": "SUITE 300",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011299",
            "telephone_number": "603-625-8825",
            "fax_number": "603-625-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DOW ST",
            "address_2": "SUITE 300",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011299",
            "telephone_number": "603-625-8825",
            "fax_number": "603-625-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESHARE MIDWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BOYNTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-491-1762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "201000005C",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Licensed Support Corp
• Carol Liddell, RNC, MS
• Gabriele Lieberg, MD
• Joseph John Lienert, M.D.
• Lifeshare Management Group, Inc.
• Light Transportation
• Grace W. Lim, O.D.
• Luigi Martin Cheng Lim, M.D.
• Teresa Ferguson Limberg, W.H.N.P.
• Jenny Lin, MD

• Developmentally Disabled Services Day Training Agency in Manchester, NH
• Providers in Manchester, NH by specialty
• Developmentally Disabled Services Day Training Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.