LIFESPAN ADVANCED CARE LLC NPI 1558238345

NPI Information

  • NPI: 1558238345
  • Provider Name: LIFESPAN ADVANCED CARE LLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 118 MEDICAL DR
    CARMEL, IN
    ZIP 46032
  • Phone: (317) 781-4500

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NPI Details

LIFESPAN ADVANCED CARE LLC is a gerontology nurse practitioner in Carmel, IN. LIFESPAN ADVANCED CARE LLC NPI is 1558238345. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

118 MEDICAL DR
CARMEL, IN
ZIP 46032-323
Phone: (317) 781-4500
Fax: (317) 781-4500

The provider's authorized official is Stephen Moore, Md .
The authorized official title is Owner and has the following contact phone number (812) 332-2265.

The enumeration date for this NPI number is 10/17/2025 and was last updated on 3/20/2026.

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
1363LA2200XNurse PractitionerAdult HealthNo
2363LG0600XNurse PractitionerGerontologyYes

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: 11/21/2025

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