Active NPI
Lifesafe LLC
- Personal Emergency Response Attendant
- Dyersburg, TN
National Provider Identifier
1790020485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- Legal business name
- LIFESAFE LLC
- Practice address
- 5324 Highway 104 West
Dyersburg, TN 38024 - Phone
- (731) 286-1083
- Fax
- (731) 287-1352
- NPI assigned
- Dec 6, 2012
- Last updated
- Feb 26, 2013
- 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
- Amy Finley Smith
- Title
- Operations Manager
- Phone
- (731) 286-1083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | Primary |
Addresses
Primary practice location
5324 Highway 104 West
Dyersburg, TN 38024
Mailing address
PO Box 647
Finley, TN 38030-0647
Phone (731) 286-1083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803974 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361836800000",
"number": "1790020485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "FINLEY",
"state": "TN",
"postal_code": "380300647",
"telephone_number": "731-286-1083",
"fax_number": "731-287-1352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5324 HIGHWAY 104 WEST",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "38024",
"telephone_number": "731-286-1083",
"fax_number": "731-287-1352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESAFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-06",
"last_updated": "2013-02-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "FINLEY",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "731-286-1083"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Personal Emergency Response Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0803974",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.