Lifestyle Adult Day Center, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1064601-1-ADC Issued in MN

Legal business name

LIFESTYLE ADULT DAY CENTER, LLC

Practice address

7089 10TH St N
Oakdale, MN 55128-5938

Phone

(651) 731-5154

Fax

(651) 714-9182

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mike Yang

Title

Officer/Member Organizer

Phone

(651) 247-1737

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1962845537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7089 10TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285938",
            "telephone_number": "651-731-5154",
            "fax_number": "651-714-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7089 10TH ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285938",
            "telephone_number": "651-731-5154",
            "fax_number": "651-714-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE ADULT DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OFFICER/MEMBER ORGANIZER",
        "authorized_official_telephone_number": "651-247-1737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MN",
            "license": "1064601-1-ADC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lee, MA
• Aaron Brian Leet, MSED., LPCC, NCC
• Yvonne Lemieux, LICSW
• Marcell Lenoir
• Rachael Levahn
• Bruce Albin Lindberg, D.D.S.
• Pamela Lipe, M.S., LP
• Kristin R Lockhart, MD
• Lana Loomis, PHD, LP
• Emily Lowney

• Developmentally Disabled Services Day Training Agency in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Developmentally Disabled Services Day Training Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.