Lynchburg Area Center for Independent Living

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING

Practice address

500 Alleghany Ave Ste 520
Lynchburg, VA 24501-2610

Phone

(434) 528-4971

Fax

(434) 528-4976

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Phil Theisen

Title

Executive Director

Phone

(434) 528-4971

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700926573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALLEGHANY AVE STE 520",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012610",
            "telephone_number": "434-528-4971",
            "fax_number": "434-528-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALLEGHANY AVE STE 520",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012610",
            "telephone_number": "434-528-4971",
            "fax_number": "434-528-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEISEN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-528-4971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Case Manager/Care Coordinator in Virginia

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