Organization Active NPI

Health Care for Life Ms, LLC

  • Optometrist
  • Ridgeland, MS
National Provider Identifier
1891055588
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HEALTH CARE FOR LIFE MS, LLC
Practice address
576 Highland Colony Pkwy
Suite 210
Ridgeland, MS 39157-8769
Phone
(601) 707-9488
NPI assigned
May 29, 2012
Organization subpart
Yes
Parent organization
HEALTH CARE FOR LIFE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Stuart M Greenberg, O.D.
Title
Partner/Member
Phone
(256) 332-5440

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

576 Highland Colony Pkwy
Suite 210
Ridgeland, MS 39157-8769

Mailing address

576 Highland Colony Pkwy
Suite 210
Ridgeland, MS 39157-8769
Phone (601) 707-9488

National Provider Directory

National Provider Directory

Locations

576 Highland Colony Pkwy
Ste 210P
Ridgeland, MS 39157
Phone (601) 707-9488

576 Highland Colony Pkwy
Ste 210
Ridgeland, MS 39157
Phone (601) 707-9488

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1891055588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 210",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578769",
            "telephone_number": "601-707-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 HIGHLAND COLONY PKWY",
            "address_2": "SUITE 210",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578769",
            "telephone_number": "601-707-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE FOR LIFE MS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH CARE FOR LIFE, LLC",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER/MEMBER",
        "authorized_official_telephone_number": "256-332-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.