NPIMap

Organization Active NPI

Life Enhancement Services, Inc.

  • Case Management Agency
  • Tuskegee, AL
National Provider Identifier
1821254053
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFE ENHANCEMENT SERVICES, INC.
Practice address
108 Eastside St.
103
Tuskegee, AL 36083-1701
Phone
(334) 727-1122
Fax
(334) 727-7277
NPI assigned
Aug 7, 2008
Last updated
Aug 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mr. Demetrius Jermaine Crayton
Title
Executive Director
Phone
(704) 299-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

108 Eastside St.
103
Tuskegee, AL 36083-1701

Mailing address

108 Eastside St
103
Tuskegee, AL 36083-1701
Phone (334) 727-1122

National Provider Directory

National Provider Directory
Tax ID family
Life Enhancement Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1821254053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EASTSIDE ST",
            "address_2": "103",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831701",
            "telephone_number": "334-727-1122",
            "fax_number": "334-727-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EASTSIDE ST.",
            "address_2": "103",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831701",
            "telephone_number": "334-727-1122",
            "fax_number": "334-727-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "CRAYTON",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-299-2821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.