Active NPI
L.I.F.E., Inc.
- In Home Supportive Care Agency
- Farmington, MO
National Provider Identifier
1962949537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Life Center for Independent Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Farmington, MO
- NPI 1851327605
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.