Envisions Of Life, Llc

LBN: Envisions Of Life, Llc
Envisions Of Life, Llc is an health care organization with primary practice located at 4003 Gatwick Ct , Greensboro NC 27406-8573. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Envisions Of Life, Llc can be contacted via phone (336) 697-5277, or through Moore, Tomeko via phone (336) 887-0708.

Contact Information

Primary practice address
4003 Gatwick Ct Greensboro NC 27406-8573
Phone: (336) 697-5277
Fax: (336) 887-1085
Website:
Map and Directions
Authorized official contact:
Name: Moore, Tomeko LCAS, LCSWA
Phone: (336) 887-0708

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 041-699 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL 041 699 North Carolina

Profile Details

NPI number 1881891695
LBN Legal business name Envisions Of Life, Llc
DBA Doing business as
Authorized official Moore, Tomeko LCAS, LCSWA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Mar 8th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881891695 NPPES
North Carolina MEDICAID 6603624

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