LIFESTYLES


Address: 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921
Phone: 9283260044

LIFESTYLES (NPI# 1497299101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497299101
Entity Type Organization
Organization Name LIFESTYLES
Other Organization Name BAKKEN BANDITS TRANSPORT, LLC
Practice Address 4385 E Wild Elk Trl
Flagstaff
AZ 86004-7921
Practice Telephone 9283260044
Mailing Telephone 9283260044
Enumeration Date 2016-12-14
Last Update Date 2016-12-14
Authorized Official Name MR. DWIGHT C BOYD (CEO)
Authorized Official Telephone 9283260044
Authorized Official Credential N-A
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Bakken Bandits Transport, LLC Former Legal Business Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations LIFESTYLES & ASSOCIATES LTD. 60 Winthrop St., Dorchester, MA 02124
Oklahoma Business Registrations LIFESTYLES - FASHIONS & GIFTS, LLC 3015 Sheridan Rd, Tulsa, OK 74135
Virginia Business Entities LIFESTYLES - REMODELING AND DESIGN CORP.
Indiana Business Entities LIFESTYLES @ 538, INC. 538 East Dupont Road, Fort Wayne, IN 46825
Colorado Business Entities Lifestyles Apartments at Renaissance LP Po Box 667, Niwot, CO 80544
New York State Corporations LIFESTYLES BY LIZ, LLC 316 Chelsea Street, Staten Island, Ny 10307
Iowa Business Entities LIFESTYLES BY VIZZI, LLC 1370 Nw 114th St. Ste 107, Clive, IA 50325
Virginia Business Entities Lifestyles Cigar Lounge Inc. 2027 Armada Court, Chesapeake, Virginia 23321
Colorado Business Entities Lifestyles Creative, LLC 5365 S Ukraine Way, Aurora, CO 80015
Oregon Corporations, Companies and Business Names LIFESTYLES DECK AND FENCE INC. 11001 Ne 119th St, Vancouver, WA 98662

Office Location

Street Address 4385 E WILD ELK TRL
City FLAGSTAFF
State AZ
Zip Code 86004-7921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649718347 Assisted Lifestyles Private Vehicle 4385 E Wild Elk Trl, Flagstaff, AZ 86004-7921 2017-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598387805 Michael Joseph Oxtoby Counselor 2625 N. King St., Flagstaff, AZ 86004 2020-05-08
1083264501 Dazhoni Elizabeth Scott Counselor 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 2019-09-17
1760948046 Emily Bauerle Social Worker 3009 N West St, Flagstaff, AZ 86004 2019-02-12
1992295745 Kaibab Behavioral Services, Pllc Behavioral Analyst 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 2018-05-17
1083115364 Sequelcare of Arizona Community Based Residential Treatment Facility, Mental Illness 8800 Marys Drive, Flagstaff, AZ 86004 2018-02-22
1710391081 Janet Coleman Hearing Instrument Specialist 1851 E Butler Avenue, Flagstaff, AZ 86004 2014-06-16
1568703163 Mercy Timoh Pharmacist 4255 E. Soliere Ave., Flagstaff, AZ 86004 2013-03-06
1053617217 Scott Nichols Veterinarian 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 2011-02-07
1366745218 Karoline S. Mariano Registered Nurse 3480 East Route 66, Flagstaff, AZ 86004 2010-12-15
1912209719 Payal Parekh Pharmacist 1500 E Cedar, Flagstaff, AZ 86004 2010-11-30
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316240955 First Choice In Home Care Exclusive Provider Organization 3321 South Moore Circle, Flagstaff, AZ 86001 2010-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356794150 David Ryan Schaner Exclusive Provider Organization 12533 W Coldwater Springs Blvd, Avondale, AZ 85323-8320 2016-07-15
1528415650 Nazcare, Inc. Exclusive Provider Organization 8200 E. Jacque Dr., Prescott Valley, AZ 86314 2016-05-18
1508228701 Sfc Shane Exclusive Provider Organization 460 E Osage Ave, 1, Apache Junction, AZ 85119-3748 2016-03-25
1568845592 Desert Journey, LLC Exclusive Provider Organization 904 E Prescott Pl, Chandler, AZ 85249-5131 2015-07-08
1386049419 Linda L Austin, Md PC Exclusive Provider Organization 1301 E Mcdowell Rd Ste 103, Phoenix, AZ 85006-2605 2014-10-31
1720480940 Above and Beyond Care Providers Exclusive Provider Organization 2136 E. Bowker St, Phoenix, AZ 85040 2014-09-18
1578979118 White Mountain Surgical Specialist Exclusive Provider Organization 2650 E Show Low Lake Rd Ste 2, Show Low, AZ 85901-7955 2014-07-03
1023441987 New Life Care Center Int Exclusive Provider Organization 650 S Country Club Dr Apt 125, Mesa, AZ 85210-2341 2013-08-14
1902246291 Steven R Holt Od Pllc Exclusive Provider Organization 15341 W Waddell Rd Ste 106, Surprise, AZ 85379-5169 2013-07-01
1598009722 Jeffery B Bushman Do PC Exclusive Provider Organization 905 N Bowie Ave, Willcox, AZ 85643-1145 2012-11-10
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Competitor

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City FLAGSTAFF
Zip Code 86004

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Dataset Information

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.

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