Life House, LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

LIFE HOUSE, LLC

Practice address

570 State St
Cookeville, TN 38501-3718

Phone

(931) 881-6417

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Connie Mitchell

Title

President

Phone

(931) 881-6417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1982942421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 STATE ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013718",
            "telephone_number": "931-881-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 STATE ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013718",
            "telephone_number": "931-881-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-881-6417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Lewis
• Stephanie Elaine Lewis, RBT
• Toshua M Lewis, BEHAVIOR TECHNICIAN
• Brooklynne Adele Lichtle
• Life House Hospice, Inc
• Lifecare Family Services
• Lifeline
• Kenya Liggons
• Chelsey Nicole Light, RN
• Lighthouse Optical of Tennessee, LLC (Horner Rausch Super Optical Of Cookeville)

• Inpatient Hospice in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Inpatient Hospice in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.