LIFETIME POTENTIALS, INC.


Address: 43 Lj Lane, Jackson, KY 41339
Phone: 6066930994

LIFETIME POTENTIALS, INC. (NPI# 1710012000) 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) 1710012000
Entity Type Organization
Organization Name LIFETIME POTENTIALS, INC.
Practice Address 43 Lj Lane
Jackson
KY 41339
Mailing Address Po Box 798
Jackson
KY 41339
Practice Telephone 6066930994
Practice Fax Number 6066930959
Mailing Telephone 6066930994
Mailing Fax Number 6066930959
Enumeration Date 2007-02-23
Last Update Date 2017-10-11
Authorized Official Name KAY LEE VANOVER (PRESIDENT)
Authorized Official Telephone 6066930994
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251C00000X Day Training, Developmentally Disabled Services 007700784 KY Agencies
Y 251C00000X Day Training, Developmentally Disabled Services KY Agencies

Other Provider Identifier

State Issuer Identifier Type Code
KY 3300125600 05
KY 7100179820 05
KY 33001256 05

Office Location

Street Address 43 LJ LANE
City JACKSON
State KY
Zip Code 41339

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890662 Angela Shawn Bradley Pharmacist 1589 Ky Hwy 15 South, Jackson, KY 41339 2020-10-30
1871191734 Ranita Greer Pharmacist 59 Ky-15 N, Jackson, KY 41339 2020-10-13
1336763135 Jill Elaine Beattie Green Occupational Therapist 100 Ky-15, Jackson, KY 41339 2020-06-08
1023641446 Andreanna Gibbs Physical Therapy Assistant 100 Hwy 15, Jackson, KY 41339 2020-02-13
1144797754 Visionary Rehabilitation Services, LLC Speech-Language Pathologist 100 Kentucky Hwy 15 South, Suite 136, Jackson, KY 41339 2018-11-01
1477081206 Trending Upwards Counselor 1754 Highway 15 N, Jackson, KY 41339 2017-05-24
1508225996 Jessica Williams Pharmacist 842 Highway 15 N, Jackson, KY 41339 2016-02-15
1245637255 Breathitt County Ambulance, Inc. Ambulance 440 Highway 1812 North, Jackson, KY 41339 2014-11-20
1265784045 Jonathan Charles Morris Physical Therapist 695 Ky Hwy 15 N, Ste 3, Jackson, KY 41339 2012-10-04
1649539958 Henry Price Sewell IIi IIi Family Medicine 170 Picnic Hill Rd, Jackson, KY 41339 2012-05-07
Find all providers in zip 41339

Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669037701 Amanda Elizabeth Derousse Day Training, Developmentally Disabled Services 1527 Deerwood Dr, Jackson, MO 63755-4148 2019-05-03
1134617350 Golden Moments Home Care, LLC Day Training, Developmentally Disabled Services 201 Airways Blvd, Jackson, TN 38301-5800 2018-04-24
1144752874 Robert Zangrillo Day Training, Developmentally Disabled Services 7 Bailey Ct, Jackson, NJ 08527-4459 2017-03-31
1235679523 Doris C. Bridges Day Training, Developmentally Disabled Services 3928 Allen Dr, Jackson, MS 39212-5379 2017-03-06
1366995110 Senior Services, LLC Day Training, Developmentally Disabled Services 21 Northtown Dr, Jackson, MS 39211-3016 2016-07-28
1891064002 Tennessee Personal Assistance, Inc Day Training, Developmentally Disabled Services 31b Bowling Dr, Jackson, TN 38305-6100 2011-12-16
1508150160 Never Forgotten Ministries Day Training, Developmentally Disabled Services 1122 Fincherville Rd, Jackson, GA 30233-3433 2011-06-01
1952526774 Sitters & More, Inc. Day Training, Developmentally Disabled Services 125 Stonebridge Blvd Ste A, Jackson, TN 38305-2159 2007-04-16
1902931314 Madison Haywood County Developmental Services, Inc Day Training, Developmentally Disabled Services 38 Garland Dr, Jackson, TN 38305-3602 2007-02-23
1639223852 A.r.e. Inc., of Jackson Day Training, Developmentally Disabled Services 1009 W Michigan Ave, Jackson, MI 49202-4120 2007-01-23
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 41339

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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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