Organization Active NPI

Life Management Inc.

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1790937985
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
810256 Issued in KY
Legal business name
LIFE MANAGEMENT INC.
Practice address
1228 E Breckinridge St
Louisville, KY 40204-2037
Phone
(502) 471-9538
Fax
(502) 895-8450
NPI assigned
Oct 21, 2008
Organization subpart
Yes
Parent organization
CHILD OF THE KING MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Brian C.T. Beckham, PH.D
Title
Chief of Staff/Board Member
Phone
(502) 471-9538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 810256 KY Primary

Addresses

Primary practice location

1228 E Breckinridge St
Louisville, KY 40204-2037

Mailing address

1228 East Breckinridge Street
Louisville, KY 40204
Phone (502) 471-9538

National Provider Directory

National Provider Directory
Part of
Life Management Inc

Locations

1228 E Breckinridge St
Louisville, KY 40204
Phone (502) 459-9455

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1790937985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 EAST BRECKINRIDGE STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40204",
            "telephone_number": "502-471-9538",
            "fax_number": "502-895-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E BRECKINRIDGE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042037",
            "telephone_number": "502-471-9538",
            "fax_number": "502-895-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MANAGEMENT INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILD OF THE KING MINISTRIES",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C.T.",
        "authorized_official_title_or_position": "CHIEF OF STAFF/BOARD MEMBER",
        "authorized_official_telephone_number": "502-471-9538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "810256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

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