Organization Active NPI

Lifegains Inc

  • Foster Care Agency
  • Morganton, NC
National Provider Identifier
1710036488
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
LIFEGAINS INC
Practice address
1603 S Sterling St
Morganton, NC 28655-4059
Phone
(828) 433-7498
Fax
(828) 433-7284
NPI assigned
Jan 10, 2007
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Mr. Jack C White Jr.
Title
Executive Director
Phone
(828) 433-7498

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1603 S Sterling St
Morganton, NC 28655-4059

Mailing address

PO Box 1569
Morganton, NC 28680-1569
Phone (828) 433-7498

Other identifiers 1

IdentifierTypeStateIssuer
3408578MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1710036488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286801569",
            "telephone_number": "828-433-7498",
            "fax_number": "828-433-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554059",
            "telephone_number": "828-433-7498",
            "fax_number": "828-433-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGAINS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-433-7498",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408578",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.