NPIMap

Organization Active NPI

Life Enrichment Services

  • Case Management Agency
  • Anchorage, AK
National Provider Identifier
1700909785
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
902213 Issued in AK
Legal business name
LIFE ENRICHMENT SERVICES
Practice address
2340 Sentry Dr Apt 805
Anchorage, AK 99507-5344
Phone
(907) 868-3562
Fax
(907) 868-3562
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Ms. Mary S Jacks, MSWNPI 1821206376
Title
Care Coordinator
Phone
(907) 868-3562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 902213 AK Primary

Addresses

Primary practice location

2340 Sentry Dr Apt 805
Anchorage, AK 99507-5344

Mailing address

PO Box 232245
Anchorage, AK 99523-2245
Phone (907) 868-3562

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1700909785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232245",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995232245",
            "telephone_number": "907-868-3562",
            "fax_number": "907-868-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SENTRY DR APT 805",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075344",
            "telephone_number": "907-868-3562",
            "fax_number": "907-868-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "JACKS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "907-868-3562",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "902213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.