Provider Type Icon

ENVISIONS OF LIFE LLC NPI 1386195840


NPI Information

NPI: 1386195840
Provider Name: ENVISIONS OF LIFE LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
449 W MAIN ST
JONESVILLE, NC
ZIP 28642
Phone: (336) 887-0708
Get Directions

ENVISIONS OF LIFE LLC is a community based residential treatment facility mental illness in Jonesville, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ENVISIONS OF LIFE LLC NPI is 1386195840. The provider is registered as an organization entity type.

The provider's business location address is:

449 W MAIN ST
JONESVILLE, NC
ZIP 28642-130
Phone: (336) 887-0708
Fax: (336) 887-1085

The provider's authorized official is Tomeko M Moore .
The authorized official title is President and has the following contact phone number (336) 887-0708.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 9/1/2017.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness099-029NORTH CAROLINAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.