The Simple Life Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE SIMPLE LIFE SERVICES, INC.

Practice address

1224 N. Flint Street
Lincolnton, NC 28092-5239

Phone

(704) 524-9323

Fax

(770) 618-3068

NPI assigned

Dec 19, 2006

Last updated

Mar 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Erin Hughes

Title

Co-Owner

Phone

(704) 868-8328

Specialties & licenses 6

Addresses

Other identifiers 7

Tax ID family

The Simple Life Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• The Simple Life Services, Inc

  • Case Management Agency
  • Gastonia, NC
  • NPI 1134306814
  NPD tax ID
• The Simple Life Services, Inc.

  • Case Management Agency
  • Gastonia, NC
  • NPI 1538346853
  NPD tax ID
• The Simple Life Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1639498884
  NPD tax ID

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1699838706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 VANDIVER DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280920911",
            "telephone_number": "704-524-9323",
            "fax_number": "770-618-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 N. FLINT STREET",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280925239",
            "telephone_number": "704-524-9323",
            "fax_number": "770-618-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SIMPLE LIFE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-868-8328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8702129",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300821B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300821H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418076",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300821",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006972",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300821G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

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