NPIMap

Organization Active NPI

Life Opportunities Therapeutic Home Services LLC

  • Foster Care Agency
  • Red Springs, NC
National Provider Identifier
1811228042
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
LIFE OPPORTUNITIES THERAPEUTIC HOME SERVICES LLC
Practice address
129 E 3Rd Ave
Red Springs, NC 28377-1428
Phone
(910) 843-1105
Fax
(910) 843-1295
NPI assigned
Jan 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Mr. Donald Ray McMillan
Title
Cfo
Phone
(910) 843-1105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X NC Primary

Addresses

Primary practice location

129 E 3Rd Ave
Red Springs, NC 28377-1428

Mailing address

PO Box 773
Red Springs, NC 28377-0773
Phone (910) 843-1105

Other practice location 1

135 N Main St
Red Springs, NC 28377-1327
Phone (910) 843-1105

Other names 1

  • Life Opportunities Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

303 E 4th Ave
Red Springs, NC 28377

129 E 3rd Ave
Red Springs, NC 28377
Phone (910) 843-1105

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1811228042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283770773",
            "telephone_number": "910-843-1105",
            "fax_number": "910-843-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E 3RD AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771428",
            "telephone_number": "910-843-1105",
            "fax_number": "910-843-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Main St",
            "address_purpose": "LOCATION",
            "city": "Red Springs",
            "state": "NC",
            "postal_code": "283771327",
            "country_code": "US",
            "telephone_number": "910-843-1105",
            "fax_number": "910-843-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE OPPORTUNITIES THERAPEUTIC HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-843-1105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Opportunities Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.