Envisions Of Life Llc

LBN: Envisions Of Life Llc
Envisions Of Life Llc is an health care organization with primary practice located at 5 Centerview Dr. , Greensboro NC 27407-3709. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Case Management is the primary health care specialty. Envisions Of Life Llc can be contacted via phone (336) 887-0708, or through Moore, Tomeko via phone (336) 887-0708.

Contact Information

Primary practice address
5 Centerview Dr. Greensboro NC 27407-3709
Phone: (336) 887-0708
Fax: (336) 887-1085
Website:
Map and Directions
Authorized official contact:
Name: Moore, Tomeko
Phone: (336) 887-0708

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Case Management 251B00000X North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X North Carolina

Profile Details

NPI number 1881788818
LBN Legal business name Envisions Of Life Llc
DBA Doing business as
Authorized official Moore, Tomeko
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 25th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881788818 NPPES
North Carolina MEDICAID 8301518
North Carolina MEDICAID 8301518A

Popular Providers