Community Life Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COMMUNITY LIFE SERVICES

Practice address

121-C John Mark Dial Dr.
Columbia, SC 29209-2882

Phone

(803) 260-2962

NPI assigned

Jul 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Charles Nolon

Title

President

Phone

(803) 260-2962

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1932339801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 JOHN MARK DIAL DR STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292099422",
            "telephone_number": "803-260-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121-C JOHN MARK DIAL DR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092882",
            "telephone_number": "803-260-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "NOLON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-260-2962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Care Collaborative
• Community Care Services LLC
• Community Central Cares LLC
• Community Global LLC
• Community Inclusions LLC
• Community Options, Inc.
• Community Pastor Care LLC
• Community Resource Solutions SC
• Community Resource Solutions, LLC - SC Columbia
• Community Resource Solutions, LLC - SC Columbia

• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.