LIFE SERVICE PROFESSIONAL CORP NPI 1659484053

NPI Information

  • NPI: 1659484053
  • Provider Name: LIFE SERVICE PROFESSIONAL CORP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1015 N SHELBY ST
    GARY, IN
    ZIP 46403
  • Phone: (219) 938-0920

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NPI Details

LIFE SERVICE PROFESSIONAL CORP is a specialist in Gary, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIFE SERVICE PROFESSIONAL CORP NPI is 1659484053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 N SHELBY ST
GARY, IN
ZIP 46403-446
Phone: (219) 938-0920
Fax: (219) 938-0923

The provider's authorized official is Geraldine Barron-simpson .
The authorized official title is Office Manager and has the following contact phone number (219) 938-0920.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/21/2022.

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
1174400000XSpecialistINDIANAYes

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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