L.I.F.E Center for Independent Living

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

L.I.F.E CENTER FOR INDEPENDENT LIVING

Practice address

1109 Ste. Genevieve Ave
Farmington, MO 63640

Phone

(573) 756-4314

Fax

(573) 756-3507

NPI assigned

Jun 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tim Azinger

Title

Executive Director

Phone

(573) 756-4314

Specialties & licenses 1

Addresses

Tax ID family

Life Center for Independent Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• L.I.F.E., Inc.

  dba LIFE In Home

  • In Home Supportive Care Agency
  • Farmington, MO
  • NPI 1962949537
  NPD tax ID

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851327605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 STE. GENEVIEVE AVE",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-4314",
            "fax_number": "573-756-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 STE. GENEVIEVE AVE",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-756-4314",
            "fax_number": "573-756-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.F.E CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZINGER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-756-4314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajan Kumar, MD
• Jared Kunz, FNP
• Rusve Mae Meninguito Kunz, OTR/L, CLT, CSRS
• Steven L Kurzweil, M.D.
• L & J Residential, LLC (L & J Residential Care)
• L.I.F.E., Inc. (LIFE In Home)
• Cynthia Labruyere
• Victoria Ann Lachance, RN, BSN
• Ladies First OB/GYN Obstetrical Services, PC
• Cordell Lake, DDS

• Specialist in Farmington, MO
• Providers in Farmington, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.