Organization Active NPI

Nitelife LLC

  • Physiological Laboratory
  • Troy, MO
National Provider Identifier
1730134784
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
N/A
Legal business name
NITELIFE LLC
Practice address
100 Sarah Ann Blvd
Troy, MO 63379-2038
Phone
(636) 528-0831
Fax
(636) 528-0832
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mrs. Janice A Hoffmeyer, CRTT
Title
Ceo/Pres.
Phone
(636) 528-0831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X N/A Primary

Addresses

Primary practice location

100 Sarah Ann Blvd
Troy, MO 63379-2038

Mailing address

3479 Highway KK
Troy, MO 63379-5709
Phone (636) 528-1330

Other names 1

  • Janice Hoffmeyer Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1730134784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3479 HIGHWAY KK",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633795709",
            "telephone_number": "636-528-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SARAH ANN BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792038",
            "telephone_number": "636-528-0831",
            "fax_number": "636-528-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITELIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "HOFFMEYER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRES.",
        "authorized_official_telephone_number": "636-528-0831",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janice Hoffmeyer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.