Active NPI
Life Enhancement Center
- Community/Behavioral Health Agency
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE ENHANCEMENT CENTER
- Practice address
- 3595 University Ave Suite E
Riverside, CA 92501 - Phone
- (951) 505-3552
- Fax
- (951) 788-2527
- NPI assigned
- Jan 29, 2009
- Last updated
- Jan 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Goshay, CATC
- Title
- Cheif Operating Officer
- Phone
- (951) 505-3552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CA | Primary |
Addresses
Primary practice location
3595 University Ave Suite E
Riverside, CA 92501
Mailing address
3595 University Ave Suite E
Riverside, CA 92501
Phone (951) 505-3552
National Provider Directory
National Provider DirectoryLocations
3595 University Ave
Ste E
Riverside, CA 92501
Phone (951) 741-0665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Beaumont, CA
- NPI 1245862952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233187200000",
"number": "1740428705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3595 UNIVERSITY AVE SUITE E",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92501",
"telephone_number": "951-505-3552",
"fax_number": "951-788-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3595 UNIVERSITY AVE SUITE E",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92501",
"telephone_number": "951-505-3552",
"fax_number": "951-788-2527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ENHANCEMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A",
"authorized_official_last_name": "GOSHAY",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
"authorized_official_telephone_number": "951-505-3552",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CATC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.