Life Skills Independent Care

LBN: Life Changez, Inc
Life Skills Independent Care is an health care organization with primary practice located at 800 Perry Howard Rd , Fuquay Varina NC 27526-1779. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, 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. Life Changez, Inc can be contacted via phone (919) 577-0021, or through Whitehead, Rene via phone (919) 803-2799.

Contact Information

Primary practice address
800 Perry Howard Rd Fuquay Varina NC 27526-1779
Phone: (919) 577-0021
Fax: (919) 803-2808
Website:
Map and Directions
Authorized official contact:
Name: Whitehead, Rene
Phone: (919) 803-2799

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-092-795 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1912020637
LBN Legal business name Life Changez, Inc
DBA Doing business as Life Skills Independent Care
Authorized official Whitehead, Rene
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 3rd, 2020 - about 4 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 1912020637 NPPES
North Carolina MEDICAID 6604442

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