Lifeline Treatment Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFELINE TREATMENT CENTER

Practice address

5710 Oleander Dr Ste 100
Wilmington, NC 28403

Phone

(888) 600-5147

Fax

(910) 769-7173

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Alexander Lind

Title

President

Phone

(888) 600-5147

Specialties & licenses 1

Addresses

Tax ID family

Lifeline Treatment Center2 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.

• Lifeline Treatment Center

  • Multi-Specialty Clinic/Center
  • Wilmington, NC
  • NPI 1891243127
  NPD tax ID

Locations

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1689039992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034723",
            "telephone_number": "888-600-5147",
            "fax_number": "910-769-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "888-600-5147",
            "fax_number": "910-769-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-600-5147"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lifeline Chiropractic and Natural Medicine PC
• Lifeline Treatment Center
• Liferestore MD USA NC1 LLC
• Lifesource Accountability Inc
• Lifesource of North Carolina
• Lifesource Prime Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.