NPIMap

Organization Active NPI

Life Solutions

  • Mental Illness Community Based Residential Treatment Facility
  • Lumber Bridge, NC
National Provider Identifier
1881889087
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL078009 Issued in NC
Legal business name
LIFE SOLUTIONS
Practice address
210 East Fayetteville Street
Lumber Bridge, NC 28357-9999
Phone
(910) 843-3758
NPI assigned
Sep 11, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Marrea Evans
Title
Owner
Phone
(910) 272-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL078009 NC Primary

Addresses

Primary practice location

210 East Fayetteville Street
Lumber Bridge, NC 28357-9999

Mailing address

401 E 11TH St
Lumberton, NC 28358-4807
Phone (910) 272-0161

Other identifiers 1

IdentifierTypeStateIssuer
6603744MedicaidNC

Other names 1

  • Bridgecrest Other name

National Provider Directory

National Provider Directory
Tax ID family
Life Solutions6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1881889087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 11TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283584807",
            "telephone_number": "910-272-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EAST FAYETTEVILLE STREET",
            "city": "LUMBER BRIDGE",
            "state": "NC",
            "postal_code": "283579999",
            "telephone_number": "910-843-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-272-0161"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL078009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603744",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgecrest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lumber Bridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.