LIFE EXTENSIONS LLC (NPI# 1528688678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528688678 |
| Entity Type | Organization |
| Organization Name | LIFE EXTENSIONS LLC |
| Practice Address |
4304 Coburn Pl Apt 106 Raleigh NC 27616-7971 |
| Practice Telephone | 9195329855 |
| Mailing Telephone | 9195329855 |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2020-04-19 |
| Authorized Official Name | STELLA L GREEN (OWNER) |
| Authorized Official Telephone | 9195329855 |
| Authorized Official Credential | MSW LCAS CSI SAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1790042356 | 05 |
| Street Address |
4304 COBURN PL APT 106 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27616-7971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1841791985 | George Solomon Edmond Sr. | Social Worker | 2700 Sumner Bldv Ste 142, Raleigh, NC 27616 | 2018-02-23 |
| 1366985194 | Kavita Joshi | Contractor | 3001 Spring Forest Road, Raleigh, NC 27616 | 2016-11-28 |
| 1447701701 | Nathaniel Byrams | Durable Medical Equipment & Medical Supplies | 5951 Poyner Village Parkway, Suite 101, Raleigh, NC 27616 | 2016-10-20 |
| 1760831424 | Courtney Lee Smith | Speech-Language Pathologist | 4804 Sinclair Dr, Raleigh, NC 27616 | 2016-06-03 |
| 1780060541 | Sharon Sims Smith | Pharmacist | 4901 Alenja Lane, Raleigh, NC 27616 | 2015-08-04 |
| 1427462035 | Cara Ellen Finn | Optometrist | 7500 Ramble Way Ste 101, Raleigh, NC 27616 | 2014-06-12 |
| 1609297209 | Vetted International, Ltd. | Ambulance | 6880 Perry Creek Road, Raleigh, NC 27616 | 2013-12-27 |
| 1437588324 | Lauren Primato | Counselor | 8645 Boysenberry Ln, Raleigh, NC 27616 | 2013-11-01 |
| 1275968729 | Rebecca Esliker | Counselor | 3200 Spring Forest Rd, Suite 214, Raleigh, NC 27616 | 2013-09-03 |
| Find all providers in zip 27616 | ||||
| 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 |
|---|---|---|---|---|
| 1316548084 | Carolina Bridges Home Health | Case Management | 8410 Six Forks Rd Ste 104, Raleigh, NC 27615-3079 | 2020-11-07 |
| 1861008179 | Maggie Janes LLC | Case Management | 3004 Hillmer Dr, Raleigh, NC 27609-7810 | 2020-09-22 |
| 1790304335 | Joshua's House | Case Management | 1631 Midtown Pl Ste 134, Raleigh, NC 27609-1300 | 2020-04-14 |
| 1851944474 | Davis-powell & Associates, Pllc | Case Management | 3948 Browning Pl Ste 205, Raleigh, NC 27609-6512 | 2019-07-23 |
| 1154829869 | Advocates for Change LLC | Case Management | 3127 Manhasset Ln, Raleigh, NC 27604-3499 | 2018-01-28 |
| 1043723042 | Wade Healthcare Company, Inc. | Case Management | 2245 The Cir, Raleigh, NC 27608-1447 | 2017-11-13 |
| 1215473657 | Legacy Family Services | Case Management | 2205 Wide River Dr, Raleigh, NC 27614-7612 | 2017-01-09 |
| 1831649995 | Resources for Human Development | Case Management | 2412 Fitzgerald Dr, Raleigh, NC 27610-4738 | 2016-10-12 |
| 1821446147 | Care Paths LLC | Case Management | 4904 Waters Edge Dr Ste 154, Raleigh, NC 27606-2397 | 2016-05-26 |
| 1093176133 | Roten Signing Service | Case Management | 6501 Paces Arbor Cir, Unit 618, Raleigh, NC 27609-2808 | 2016-03-17 |
| Find all providers in RALEIGH | ||||
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| 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.