Organization Active NPI

Life Enhancement SVCS., LLC

  • Supports Brokerage Agency
  • Hawthorne, NJ
National Provider Identifier
1932447778
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
LIFE ENHANCEMENT SVCS., LLC
Practice address
128 Lincoln Ave
Floor 1
Hawthorne, NJ 07506-1302
Phone
(973) 423-0311
Fax
(973) 423-0477
NPI assigned
Jan 30, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Mr. Patrick A Chieffe
Title
President
Phone
(973) 423-0311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

128 Lincoln Ave
Floor 1
Hawthorne, NJ 07506-1302

Mailing address

128 Lincoln Ave
Floor 1
Hawthorne, NJ 07506-1302
Phone (973) 423-0311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1932447778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LINCOLN AVE",
            "address_2": "FLOOR 1",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061302",
            "telephone_number": "973-423-0311",
            "fax_number": "973-423-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LINCOLN AVE",
            "address_2": "FLOOR 1",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061302",
            "telephone_number": "973-423-0311",
            "fax_number": "973-423-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SVCS., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "CHIEFFE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-423-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.