Life Alliance, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE ALLIANCE, LLC

Practice address

967 Sparta Rd
North Wilkesboro, NC 28659-8090

Phone

(336) 838-5229

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Byrd

Title

VP Administration

Phone

(336) 957-7250

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1821100942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 WHISPERING PINES RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286599215",
            "telephone_number": "336-957-7250",
            "fax_number": "336-838-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 SPARTA RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598090",
            "telephone_number": "336-838-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Davie Ave",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286775302",
            "country_code": "US",
            "telephone_number": "704-872-8335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715A S Main St",
            "address_purpose": "LOCATION",
            "city": "Dobson",
            "state": "NC",
            "postal_code": "270178593",
            "country_code": "US",
            "telephone_number": "336-386-4944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3742 Vest Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032912",
            "country_code": "US",
            "telephone_number": "336-999-7263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 Greenway Rd Ste K3",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074840",
            "country_code": "US",
            "telephone_number": "828-386-1246",
            "fax_number": "828-386-1240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Highway 105 Ext Ste 202",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074291",
            "country_code": "US",
            "telephone_number": "336-957-7250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1543 Highlands Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287343502",
            "country_code": "US",
            "telephone_number": "336-838-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "VP ADMINISTRATION",
        "authorized_official_telephone_number": "336-957-7250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409663",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.