Organization Active NPI

Life Resources, LLC

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1801471503
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIFE RESOURCES, LLC
Practice address
1157 S State Road 7
Wellington, FL 33414-6101
Phone
(561) 234-6599
Fax
(888) 809-1447
NPI assigned
Mar 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Jon Arenstein, MD
Title
Ceo
Phone
(561) 234-6599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X

Addresses

Primary practice location

1157 S State Road 7
Wellington, FL 33414-6101

Mailing address

1157 S State Road 7
Wellington, FL 33414-6101
Phone (561) 234-6599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211013001455 FL Part B Supplier - Clinic/Group Practice 2062810591 Receives reassigned benefits from 4 practitioners
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

950 Peninsula Corporate Cir
Ste 2000
Boca Raton, FL 33487
Phone (561) 234-6599

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25802/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1801471503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 S STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146101",
            "telephone_number": "561-234-6599",
            "fax_number": "888-809-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 S STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146101",
            "telephone_number": "561-234-6599",
            "fax_number": "888-809-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "ARENSTEIN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-234-6599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.