LIFE ENHANCEMENT SERVICES, INC. (NPI# 1568618700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568618700 |
Entity Type | Organization |
Organization Name | LIFE ENHANCEMENT SERVICES, INC. |
Practice Address |
108 Eastside St. 103 Tuskegee AL 36083-1701 |
Practice Telephone | 3347271122 |
Practice Fax Number | 3347277277 |
Mailing Telephone | 3347271122 |
Mailing Fax Number | 3347277277 |
Enumeration Date | 2008-08-07 |
Last Update Date | 2008-08-07 |
Authorized Official Name | MR. DEMETRIUS CRAYTON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3347271122 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821254053 | Life Enhancement Services, Inc. | Case Management | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-07 |
1295973329 | Life Enhancement Services, Inc. | Community/Behavioral Health | 777 Cleveland Ave Sw, Suite 516, Atlanta, GA 30315-7129 | 2009-01-28 |
1811143407 | Life Enhancement Services, Inc. | Clinic/Center | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-14 |
Street Address |
108 EASTSIDE ST. 103 |
City | TUSKEGEE |
State | AL |
Zip Code | 36083-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821254053 | Life Enhancement Services, Inc. | Case Management | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-07 |
1811143407 | Life Enhancement Services, Inc. | Clinic/Center | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
1689902710 | Penny M Genous | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-12-01 |
1194954255 | Kevin Mcbeth Johnson | Student in an Organized Health Care Education/Training Program | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-07-10 |
Find all providers in zip 36083 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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1477182277 | Alabama Department of Mental Health | Clinic/Center | 1305 James I Harrison Jr Pkwy E, Tuscaloosa, AL 35405-2540 | 2020-04-03 |
1013555093 | Rehab Associates, LLC | Clinic/Center | 2050 Gadsden Hwy Ste 104, Birmingham, AL 35235-3260 | 2019-12-20 |
1245876275 | Rehab Associates, LLC | Clinic/Center | 1021 Montgomery Hwy Ste 200, Vestavia Hills, AL 35216-2805 | 2019-11-25 |
1962055699 | Alabama Department of Mental Health | Clinic/Center | 100 N Union St # 468, Montgomery, AL 36104-3719 | 2019-07-22 |
1245720002 | Delta Rehab Services LLC | Clinic/Center | 7956 Vaughn Rd Ste 202, Montgomery, AL 36116-6625 | 2018-05-16 |
1710426499 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 213 Ana Dr, Florence, AL 35630-1768 | 2017-02-15 |
1427496587 | Fleur De Lis Operations LLC | Clinic/Center | 6157 Airport Blvd, Suite 852022, Mobile, AL 36685-5501 | 2013-06-11 |
1447448550 | Pediatric Therapy Link of North Alabama, LLC | Clinic/Center | 97 Hughes Rd Ste H, Madison, AL 35758-3401 | 2007-10-15 |
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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.