Life Styles Supports, Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

LIFE STYLES SUPPORTS, INC.

Practice address

116 Densten Rd
Sewell, NJ 08080-1890

Phone

(856) 589-5640

Fax

(856) 589-1516

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Diane Estelle Hernandez

Title

Executive Director

Phone

(856) 589-5640

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1932511458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080800594",
            "telephone_number": "856-589-5640",
            "fax_number": "856-589-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DENSTEN RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801890",
            "telephone_number": "856-589-5640",
            "fax_number": "856-589-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STYLES SUPPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ESTELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-589-5640",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19132511458",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Armstrong Levan, PT,MS, OCS
• Neil Levin, DO
• Lesley Brook Lewis, DO
• Kehua Li, MD
• Nancy Ellen Lieving, CNS
• Jennifer Rebecca Lincoln, P.A.
• Link Rehab Services
• Michelle Lipchock, DSW, LCSW
• Dan Liss, DPT
• Jennifer Liss, PT

• Child Intellectual and/or Developmental Disabilities Respite Care in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.