LIFE DOMAINS, LLC (NPI# 1316191869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316191869 |
| Entity Type | Organization |
| Organization Name | LIFE DOMAINS, LLC |
| Practice Address |
1656 North Glencoe Road Burlington NC 27215 |
| Mailing Address |
1146 N Church St Suite G Burlington NC 27217-2702 |
| Practice Telephone | 3362694048 |
| Mailing Telephone | 3362694048 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | MS. TOYA STEPHENS (OWNER) |
| Authorized Official Telephone | 3362694048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | NC | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Life Domains, LLC | 1146 North Church Street Suite G , Burlington, NC 27217 |
| Virginia Business Entity | Life Domains, LLC | 4266 MILDRED'S LN , CAPE CHARLES, VA 23310 |
| Street Address |
1656 NORTH GLENCOE ROAD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699412 | Harvest Focused & Consulting Services LLC | Case Management | 124 S Mebane St Ste B, Burlington, NC 27215-5942 | 2019-10-01 |
| 1922666338 | Eihab Human Services New Jersey, Inc. | Case Management | 4 Beechwood Ave, Burlington, NJ 08016-3402 | 2019-05-31 |
| 1316443567 | Ericson Support Services LLC | Case Management | 11 La Gorce Blvd, Burlington, NJ 08016-2903 | 2018-04-04 |
| 1174927263 | Occupational Training Center | Case Management | 2 Manhattan Dr, Burlington, NJ 08016-4120 | 2014-10-17 |
| 1639586860 | Resources Opportunities Supports and Services LLC. | Case Management | 3 Parker Ave, Burlington, NJ 08016-2105 | 2014-07-21 |
| 1235483223 | Values Into Action Nj, Inc. | Case Management | 351 Hight Street, Suite 203, Burlington, NJ 08016 | 2012-10-30 |
| 1003116237 | National Mentor Healthcare, LLC | Case Management | 1708 S Mebane Street, Suite 302, Burlington, NC 27215-6591 | 2010-10-21 |
| 1942432489 | Central State of The Carolinas, Inc. | Case Management | 1528 S. Mebane St. Apt 1405n, Burlington, NC 27215 | 2009-08-18 |
| 1639338395 | Community Health Enhancement & Empowerment Resources | Case Management | 1146 N Church St, Burlington, NC 27217-2702 | 2008-06-06 |
| 1306003926 | Universal Mental Health Services, Inc | Case Management | 913b S Main St, Burlington, NC 27215-5756 | 2008-05-21 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on LIFE DOMAINS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.