Active NPI
Life Skills and Family Initiative Inc
- Home Health Agency
- Waltham, MA
National Provider Identifier
1942616396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE SKILLS AND FAMILY INITIATIVE INC
- Practice address
- 24 Crescent St
Siute 302
Waltham, MA 02453-4358 - Phone
- (781) 216-8191
- NPI assigned
- Jul 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter Muwanguzi, NURSE/LSW
- Title
- Director
- Phone
- (781) 216-8191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
24 Crescent St
Siute 302
Waltham, MA 02453-4358
Mailing address
24 Crescent Street
Siute 302
Waltham, MA 02453
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404691200000",
"number": "1942616396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CRESCENT STREET",
"address_2": "SIUTE 302",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CRESCENT ST",
"address_2": "SIUTE 302",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024534358",
"telephone_number": "781-216-8191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE SKILLS AND FAMILY INITIATIVE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-07",
"status": "A",
"authorized_official_last_name": "MUWANGUZI",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "781-216-8191",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NURSE/LSW"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.