NPIMap

Organization Active NPI

Lifepath LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Burlington, NC
National Provider Identifier
1942595590
Registry record updated Jun 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
LIFEPATH LLC
Practice address
5908 S NC Highway 49
Burlington, NC 27215-9621
Phone
(336) 255-3367
NPI assigned
Jun 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2011

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

Authorized official

Name
Theresha Hill
Title
Executive Director
Phone
(336) 255-3367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

5908 S NC Highway 49
Burlington, NC 27215-9621

Mailing address

4565 Vernon Farms Blvd
Kernersville, NC 27284-0130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307750400000",
    "number": "1942595590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 VERNON FARMS BLVD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 S NC HIGHWAY 49",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159621",
            "telephone_number": "336-255-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-11",
        "last_updated": "2011-06-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "THERESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-255-3367"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.