NPIMap

Organization Active NPI

Life Net Services

  • Mental Illness Community Based Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1760188072
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LIFE NET SERVICES
Practice address
4528 Chambersburg Rd
Fayetteville, NC 28314-2368
Phone
(910) 745-8895
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Alicia Roberson
Title
Ceo
Phone
(910) 745-8895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4528 Chambersburg Rd
Fayetteville, NC 28314-2368

Mailing address

PO Box 87024
Fayetteville, NC 28304-7024
Phone (910) 745-8895

Other names 1

  • Chain of Change Residential Other name

National Provider Directory

National Provider Directory
Tax ID family
Life Net Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1760188072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87024",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047024",
            "telephone_number": "910-745-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 CHAMBERSBURG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142368",
            "telephone_number": "910-745-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE NET SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-745-8895"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chain of Change Residential",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Chain of Change Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.