Active NPI
Lifelinks Resources LLC
- Behavior Analyst
- Mableton, GA
National Provider Identifier
1821468216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- LIFELINKS RESOURCES LLC
- Practice address
- 1151 Wisteria Dr SW
Mableton, GA 30126-5530 - Phone
- (978) 944-8439
- NPI assigned
- Sep 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresia Wanderi
- Title
- President
- Phone
- (978) 944-8439
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
1151 Wisteria Dr SW
Mableton, GA 30126-5530
Mailing address
1151 Wisteria Dr SW
Mableton, GA 30126-5530
Phone (978) 944-8439
National Provider Directory
National Provider DirectoryLocations
165M New Boston St
Ste 230
Woburn, MA 01801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1821468216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 WISTERIA DR SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265530",
"telephone_number": "978-944-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 WISTERIA DR SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265530",
"telephone_number": "978-944-8439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINKS RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-29",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "WANDERI",
"authorized_official_first_name": "TERESIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-944-8439"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.