Life360 Community Services
LBN: Life360 Community Services
Life360 Community Services is an health care organization with primary practice located at 836 S Suburban Ave , Springfield MO 65802-6774. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Life360 Community Services can be contacted via phone (417) 658-5409, or through Garcia, Gene Estrada via phone (417) 658-5409.
Contact Information
Primary practice address
836 S Suburban Ave
Springfield MO 65802-6774
Phone: (417) 658-5409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1720751688 |
|---|---|
| LBN Legal business name | Life360 Community Services |
| DBA Doing business as | |
| Authorized official | Garcia, Gene Estrada MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2021 |
| Last updated | Mar 1st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720751688 | NPPES |
| Missouri | MEDICAID | 1578916946 |
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