NPIMap

Organization Active NPI

Lyfe Changes LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1780123331
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LYFE CHANGES LLC
Practice address
7415 Gatehouse Cir
Apt 180
Orlando, FL 32807-6011
Phone
(407) 314-0383
Fax
(407) 964-3238
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
James J YoungNPI 1033664214
Title
Managing Member
Phone
(407) 314-0383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7415 Gatehouse Cir
Apt 180
Orlando, FL 32807-6011

Mailing address

7415 Gatehouse Cir
Apt 180
Orlando, FL 32807-6011
Phone (407) 314-0383

Other identifiers 1

IdentifierTypeStateIssuer
014194400MedicaidFL

Other names 1

  • James J Young Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1780123331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 GATEHOUSE CIR",
            "address_2": "APT 180",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076011",
            "telephone_number": "407-314-0383",
            "fax_number": "407-964-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 GATEHOUSE CIR",
            "address_2": "APT 180",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076011",
            "telephone_number": "407-314-0383",
            "fax_number": "407-964-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYFE CHANGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-314-0383"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014194400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James J Young",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.