Life Enrichment Center of Cleveland County, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.

Practice address

110 Life Enrichment Blvd
Shelby, NC 28150-3689

Phone

(704) 484-0405

Fax

(704) 484-0406

NPI assigned

Feb 8, 2007

Organization subpart

Yes

Parent organization

LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.As reported in NPPES

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

Authorized official

Name

Toni Camp, RN

Title

Assistant Director

Phone

(704) 484-0405

Specialties & licenses 5

Addresses

Other identifiers 1

Tax ID family

Life Enrichment Center of Cleveland County Inc3 organizations share this tax ID, including this one

Part of

Life Enrichment Center of Cleveland County Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Life Enrichment Center

  • Developmentally Disabled Services Day Training Agency
  • Shelby, NC
  • NPI 1912103532
  NPD tax ID
• Life Enrichment Center of Cleveland County, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Shelby, NC
  • NPI 1942364864
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Life Enrichment Center of Cleveland County, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Shelby, NC
  • NPI 1942364864
  NPPES parent name

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1801937552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LIFE ENRICHMENT BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503689",
            "telephone_number": "704-484-0405",
            "fax_number": "704-484-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LIFE ENRICHMENT BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503689",
            "telephone_number": "704-484-0405",
            "fax_number": "704-484-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Kings Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Kings Mountain",
            "state": "NC",
            "postal_code": "280869121",
            "country_code": "US",
            "telephone_number": "704-739-4858",
            "fax_number": "704-739-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "704-484-0405",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "DHHS",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Hilton Lester, M.D.
• Traci D Levy, D.C.
• Jessica Leigh Lewis, AHG
• Tina Lewis, FNP
• Life Enrichment Center
• Life Enrichment Center of Cleveland County, Inc.
• Life Hearing Solutions, PLLC
• Life Provisions, Inc.
• Life Provisions, LLC
• Linda L Hice (Manelines Unique Boutique)

• Adult Day Care Clinic/Center in Shelby, NC
• Providers in Shelby, NC by specialty
• Adult Day Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.