Envisions Of Life Llc

LBN: Envisions Of Life Llc
Envisions Of Life Llc is an health care organization with primary practice located at 218 N Mcpherson Church Rd , Fayetteville NC 28303-4495. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Case Management. Agencies / Case Management is the primary health care specialty. Envisions Of Life Llc can be contacted via phone (910) 323-6002, or through Moore, Tomeko Michelle via phone (336) 887-0708.

Contact Information

Primary practice address
218 N Mcpherson Church Rd Fayetteville NC 28303-4495
Phone: (910) 323-6002
Fax: (910) 323-6003
Website:
Map and Directions
Authorized official contact:
Name: Moore, Tomeko Michelle
Phone: (336) 887-0708

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Case Management 251B00000X North Carolina

Profile Details

NPI number 1891992673
LBN Legal business name Envisions Of Life Llc
DBA Doing business as
Authorized official Moore, Tomeko Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Apr 29th, 2010 - about 14 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 1891992673 NPPES
North Carolina MEDICAID 8301519B
North Carolina MEDICAID 8301519G
North Carolina MEDICAID 8301519
North Carolina MEDICAID 8301519A
North Carolina MEDICAID 5950233

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