Life Integration Recovery , LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LIFE INTEGRATION RECOVERY , LLC

Practice address

13221 US Highway 1
Juno Beach, FL 33408-2222

Phone

(561) 337-3200

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By 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

Glenn Cohen

Title

Ceo

Phone

(561) 337-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1720536535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13221 US HIGHWAY 1",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082222",
            "telephone_number": "561-337-3200",
            "fax_number": "844-681-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 US HIGHWAY 1",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082222",
            "telephone_number": "561-337-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE INTEGRATION RECOVERY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-337-3200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Erik Keuning, DMD
• Amber J Knapp
• Mark A Kuhl, DMD
• Melanie E Lewis, LICENSED MASSAGE THE
• Paulette Dawn Lewis, LMT
• Lifespace Communities Inc (The Waterford)
• Lifespace Communities Inc (Lifespace Personal Services)
• Anabel Lopez, LMT
• Larry Keith Mabry, L.C.S.W.
• Tanya Tricia Magney

• Assisted Living Facility in Juno Beach, FL
• Providers in Juno Beach, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.