NPIMap

Organization Active NPI

Life Skills Training and Educational Programs, Inc.

  • Case Management Agency
  • Fair Oaks, CA
National Provider Identifier
1679929996
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.
Practice address
4041 Bridge St
Fair Oaks, CA 95628-7503
Phone
(916) 965-0110
Fax
(916) 965-0102
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Mrs. Elizabeth A Southorn, M.A.
Title
Executive Director
Phone
(916) 965-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4041 Bridge St
Fair Oaks, CA 95628-7503

Mailing address

4041 Bridge St
Fair Oaks, CA 95628-7503
Phone (916) 965-0110

National Provider Directory

National Provider Directory
Tax ID family
Life Skills Training and Educational Programs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1679929996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 BRIDGE ST",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287503",
            "telephone_number": "916-965-0110",
            "fax_number": "916-965-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 BRIDGE ST",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287503",
            "telephone_number": "916-965-0110",
            "fax_number": "916-965-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS TRAINING AND EDUCATIONAL PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "SOUTHORN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-965-0110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.