Enhanced Lifestyle Senior Healthcare LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENHANCED LIFESTYLE SENIOR HEALTHCARE LLC

Practice address

2125 Harden Blvd
Lakeland, FL 33803-5918

Phone

(863) 222-4060

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

David Gonzalez

Title

Owner

Phone

(813) 453-6179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1902558406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035918",
            "telephone_number": "863-222-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED LIFESTYLE SENIOR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-453-6179"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Israel Enechukwu, PHARMD
• Ashley Nicole England, PT
• Michael Englert, LMHC, LPC, LCAS
• Alicia Engwall
• Enhanced Lifestyle Senior Healthcare LLC
• Luz C Enriquez Sardinas
• Andrea Lisa Entin, RNFA
• Environmental Concepts and Services
• Joni Melissa Epperson Steven, ARNP
• Caitlyn Epperson

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.