NPIMap

Organization Active NPI

Life Structures, Inc.

  • Substance Abuse Rehabilitation Facility
  • Greensboro, NC
National Provider Identifier
1710200415
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LIFE STRUCTURES, INC.
Practice address
1822 Sharpe Rd
Greensboro, NC 27406-9413
Phone
(336) 370-8583
Fax
(336) 370-8587
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. Kevin A Williams
Title
President
Phone
(336) 370-8583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1822 Sharpe Rd
Greensboro, NC 27406-9413

Mailing address

1822 Sharpe Rd
Greensboro, NC 27406-9413
Phone (336) 370-8583

National Provider Directory

National Provider Directory
Tax ID family
Life Structures Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1710200415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 SHARPE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069413",
            "telephone_number": "336-370-8583",
            "fax_number": "336-370-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 SHARPE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069413",
            "telephone_number": "336-370-8583",
            "fax_number": "336-370-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STRUCTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-370-8583",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.