Lifetime Healthcare Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LIFETIME HEALTHCARE INCORPORATED

Practice address

2201 Robinson Dr
Mobile, AL 36605-5137

Phone

(251) 648-4893

Fax

(251) 473-9868

NPI assigned

May 13, 2011

Last updated

May 13, 2011By 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

John Malone Smith

Title

President

Phone

(251) 648-4893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1871885517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 ROBINSON DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366055137",
            "telephone_number": "251-648-4893",
            "fax_number": "251-473-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 ROBINSON DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366055137",
            "telephone_number": "251-648-4893",
            "fax_number": "251-473-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MALONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-648-4893"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• License Professional Counseling Services, LLC
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• Lifeguard Ambulance Service LLC
• Lifevesting International
• Rebecca Light, RDN, LD
• Katharine Lucille Lightfoot, BS
• Robert D Lightfoot, MD
• Ashleigh Likely

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mobile, AL
• Providers in Mobile, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.