Organization Active NPI

Life Skills Service Center of the Villages, FL Inc.

  • Home Health Agency
  • Dade City, FL
National Provider Identifier
1881144244
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE SKILLS SERVICE CENTER OF THE VILLAGES, FL INC.
Practice address
13951 7TH St
5
Dade City, FL 33525-4903
Phone
(352) 257-5636
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Avon Hambrick
Title
President
Phone
(352) 257-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13951 7TH St
5
Dade City, FL 33525-4903

Mailing address

3515 Wedgewood LN
113
The Villages, FL 32162-7187

National Provider Directory

National Provider Directory

Locations

13951 7th St
Ste 5
Dade City, FL 33525
Phone (352) 257-5636

3515 Wedgewood Ln
The Villages, FL 32162

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1881144244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 WEDGEWOOD LN",
            "address_2": "113",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321627187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 7TH ST",
            "address_2": "5",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254903",
            "telephone_number": "352-257-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS SERVICE CENTER OF THE VILLAGES, FL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "HAMBRICK",
        "authorized_official_first_name": "AVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-257-5636"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.