Organization Active NPI

L.I.F.E., Inc.

  • In Home Supportive Care Agency
  • Farmington, MO
National Provider Identifier
1962949537
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
L.I.F.E., INC.
Doing business as
LIFE In Home
Practice address
725 E Karsch Blvd
Farmington, MO 63640-3006
Phone
(573) 756-4314
Fax
(573) 756-3507
NPI assigned
Jan 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Timothy P Azinger
Title
Executive Director
Phone
(573) 756-4314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

725 E Karsch Blvd
Farmington, MO 63640-3006

Mailing address

PO Box 967
Farmington, MO 63640-0967
Phone (573) 756-4314

Other names 1

  • LIFE In Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Center for Independent Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

725 E Karsch Blvd
Farmington, MO 63640
Phone (573) 756-4314

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1962949537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400967",
            "telephone_number": "573-756-4314",
            "fax_number": "573-756-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403006",
            "telephone_number": "573-756-4314",
            "fax_number": "573-756-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I.F.E., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "AZINGER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-756-4314"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE In Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.