Envisions of Life LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ENVISIONS OF LIFE LLC

Practice address

218 N McPherson Church Rd
Fayetteville, NC 28303-4495

Phone

(910) 323-6002

Fax

(910) 323-6003

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tomeko Michelle Moore

Title

President

Phone

(336) 887-0708

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Envisions of Life LLC

  • Case Management Agency
  • Greensboro, NC
  • NPI 1881788818

  O20100428000794

  Same enrollment

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1891992673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 KELLY PL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622609",
            "telephone_number": "336-887-0708",
            "fax_number": "336-887-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034495",
            "telephone_number": "910-323-6002",
            "fax_number": "910-323-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONS OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TOMEKO",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-887-0708",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301519B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301519G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301519",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301519A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950233",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayana Dayzahneir Encarnacion
• Michelle Lynn Engelbrecht, RN
• Kristin Alexis Engle, DO
• Zachary Robert Engle, O.D.
• Envision All Things LLC
• Joel Enyinnaya
• Toreia Ephraim
• Epiphany Place Counseling & Consulting PLLC
• Roxxy Alexandria Eppinger, LCSWA
• Kaitlyn Collins Epps, LCSW

• Case Management Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.