LIFECARE FAMILY SERVICES NPI 1598198335

NPI Information

NPI: 1598198335
Provider Name: LIFECARE FAMILY SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2971 FORT HENRY DR
KINGSPORT, TN
ZIP 37664
Phone: (615) 781-0013
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LIFECARE FAMILY SERVICES is a mental health (including community mental health center) clinic center in Kingsport, TN. LIFECARE FAMILY SERVICES NPI is 1598198335. The provider is registered as an organization entity type.

The provider's business location address is:

2971 FORT HENRY DR
KINGSPORT, TN
ZIP 37664-005
Phone: (615) 781-0013

The provider's authorized official is Landon Mauck .
The authorized official title is Hr Director and has the following contact phone number (615) 781-0013.

The enumeration date for this NPI number is 8/15/2013 and was last updated on 8/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3376955	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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