Lifeforce Health Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFEFORCE HEALTH INC

Practice address

4722 N 95TH Dr
Phoenix, AZ 85037-1037

Phone

(602) 465-8467

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Holly Marie La Grander

Title

Ceo

Phone

(602) 465-8467

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1932860467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 N 95TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371037",
            "telephone_number": "602-465-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 N 95TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371037",
            "telephone_number": "602-465-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "LA GRANDER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-465-8467"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lifeforcehq.co",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4722 N 95th Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850371037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Lifeboat Therapy Services LLC
• Lifecrest Health Services LLC (LifeCrest Health Services)
• Lifelink Inc
• Lifelions
• Lifemd, Inc.
• Lifespan Psychiatry LLC
• Lifestream Complete Senior Living at Northeast Phoenix, Inc. (LifeStream at Northeast Phoenix Green House 84)

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

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