Lifetime Potentials, Inc.

LBN: Lifetime Potentials, Inc.
Lifetime Potentials, Inc. is an health care organization with primary practice located at 43 Lj Lane , Jackson KY 41339. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Lifetime Potentials, Inc. can be contacted via phone (606) 693-0994, or through Vanover, Kay Lee via phone (606) 693-0994.

Contact Information

Primary practice address
43 Lj Lane Jackson KY 41339
Phone: (606) 693-0994
Fax: (606) 693-0959
Website:
Map and Directions
Authorized official contact:
Name: Vanover, Kay Lee
Phone: (606) 693-0994

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 007700784 Kentucky
Agencies / Day Training, Developmentally Disabled Services 251C00000X Kentucky

Profile Details

NPI number 1710012000
LBN Legal business name Lifetime Potentials, Inc.
DBA Doing business as
Authorized official Vanover, Kay Lee
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Oct 11th, 2017 - about 7 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 1710012000 NPPES
Kentucky MEDICAID 33001256
Kentucky MEDICAID 7100179820
Kentucky MEDICAID 3300125600

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