NPIMap

Organization Active NPI

Lifetime PCS, LLC

  • Adult Care Home Facility
  • New Orleans, LA
National Provider Identifier
1821373168
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
PCA 11694 Issued in LA
Legal business name
LIFETIME PCS, LLC
Practice address
1010 Common St
Suite 2660
New Orleans, LA 70112-2401
Phone
(504) 962-3101
Fax
(504) 962-3102
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Sandra Thrash
Title
Administrator
Phone
(504) 962-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X PCA 11694 LA Primary

Addresses

Primary practice location

1010 Common St
Suite 2660
New Orleans, LA 70112-2401

Mailing address

1010 Common St
Suite 2660
New Orleans, LA 70112-2401
Phone (504) 962-3101

Other identifiers 3

IdentifierTypeStateIssuer
1669505798MedicaidLA
1811200595MedicaidLA
1447200753MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Life Time Personal Care Service3 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": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1821373168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST",
            "address_2": "SUITE 2660",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122401",
            "telephone_number": "504-962-3101",
            "fax_number": "504-962-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST",
            "address_2": "SUITE 2660",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122401",
            "telephone_number": "504-962-3101",
            "fax_number": "504-962-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME PCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "THRASH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-962-3101"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "PCA 11694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669505798",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811200595",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447200753",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.