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LIFE CHANGE OUTREACH ORGANIZATION NPI 1992057723


NPI Information

NPI: 1992057723
Provider Name: LIFE CHANGE OUTREACH ORGANIZATION
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
15508 WILLET CT
MASCOTTE, FL
ZIP 34753
Phone: (352) 255-6458
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LIFE CHANGE OUTREACH ORGANIZATION is a case manager care coordinator in Mascotte, FL. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. LIFE CHANGE OUTREACH ORGANIZATION NPI is 1992057723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15508 WILLET CT
MASCOTTE, FL
ZIP 34753-102
Phone: (352) 255-6458

The provider's authorized official is Nabuchi Grace Anderson .
The authorized official title is Owner and has the following contact phone number (352) 255-6458.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 10/3/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorYes

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

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