Life Stages Integrated Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LIFE STAGES INTEGRATED SERVICES, LLC

Practice address

2407 Grace Ave
Suite 5
New Bern, NC 28562-4416

Phone

(252) 327-4231

Fax

(252) 355-7287

NPI assigned

Jan 21, 2008

Last updated

Jan 21, 2008By 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

Mr. Roscoe Fulmore

Title

Director of Operations

Phone

(252) 327-4231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1770769721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 GRACE AVE",
            "address_2": "SUITE 5",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624416",
            "telephone_number": "252-327-4231",
            "fax_number": "252-355-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 GRACE AVE",
            "address_2": "SUITE 5",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624416",
            "telephone_number": "252-327-4231",
            "fax_number": "252-355-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAGES INTEGRATED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "FULMORE",
        "authorized_official_first_name": "ROSCOE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "252-327-4231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in New Bern, NC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.