LIFESCAPE COMMUNITY SERVICES INC. NPI 1871865394

NPI Information

NPI: 1871865394
Provider Name: LIFESCAPE COMMUNITY SERVICES, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
705 KILBURN AVE
ROCKFORD, IL
ZIP 61101
Phone: (815) 963-1609
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LIFESCAPE COMMUNITY SERVICES, INC. is an adult day care clinic center in Rockford, IL. LIFESCAPE COMMUNITY SERVICES, INC. NPI is 1871865394. The provider is registered as an organization entity type.

The provider's business location address is:

705 KILBURN AVE
ROCKFORD, IL
ZIP 61101-550
Phone: (815) 963-1609
Fax: (815) 963-1627

The provider's authorized official is Carol Green .
The authorized official title is Executive Director and has the following contact phone number (815) 963-1609.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/30/2012.

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	261QA0600X	Clinic/Center	Adult Day Care			Yes

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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