Life, a Center for Independent Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

M8054374 Issued in ID

Legal business name

LIFE, A CENTER FOR INDEPENDENT LIVING

Practice address

640 Pershing Ave
1
Pocatello, ID 83201-3702

Phone

(208) 232-2747

Fax

(208) 232-2753

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Michael Lefevor

Title

Executive Director

Phone

(208) 232-2747

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• LIFE, Inc. Doing business as

Locations

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1760813653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PERSHING AVE",
            "address_2": "1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013702",
            "telephone_number": "208-232-2747",
            "fax_number": "208-232-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PERSHING AVE",
            "address_2": "1",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013702",
            "telephone_number": "208-232-2747",
            "fax_number": "208-232-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE, A CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LEFEVOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-232-2747"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": "M8054374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8054374",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• In Home Supportive Care Agency in Idaho

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