Lifetime Potentials, Inc. in Jackson - Day Training, Developmentally Disabled Services
Lifetime Potentials, Inc. - NPI 1710012000
Lifetime Potentials, Inc. is a Day Training, Developmentally Disabled Services in Jackson, Kentucky. Lifetime Potentials, Inc. practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Lifetime Potentials, Inc. is 1710012000. The last update date is 2017-10-11.
Lifetime Potentials, Inc.'s current location address is Po Box 798, Jackson, Kentucky. You can contact this provider via phone number 6066930994 and fax number 6066930959. The mailing address for Lifetime Potentials, Inc. is Po Box 798, Jackson, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Potentials, Inc. |
|---|---|
| Address | Po Box 798, Jackson, Kentucky |
| Phone Number | 6066930994 |
| Fax Number | 6066930959 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Vanover Lee Kay |
| Telephone Number | 6066930994 |
NPI Number Detail
| NPI Number | 1710012000 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2017-10-11 |
Provider Mailing Address Detail
| Address | Po Box 798 |
|---|---|
| City | Jackson |
| State | Kentucky (KY) |
| Post Code | 41339 |
| Phone Number | 6066930994 |
| Fax Number | 6066930959 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | 7700784 |
|
Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33001256 | KY | -- | |
| 7100179820 | KY | -- | |
| 3300125600 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lifetime Potentials, Inc.?
The Lifetime Potentials, Inc. has been issued the NPI (National Provider Identifier) 1710012000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Lifetime Potentials, Inc. is physically located?
The Lifetime Potentials, Inc. is physically situated at the following address: Po Box 798, Jackson, KY, 41339.
What is Lifetime Potentials, Inc.'s area of expertise and its corresponding taxonomy classification?
The Lifetime Potentials, Inc.'s field of specialization is Day Training, Developmentally Disabled Services, and it falls under the taxonomy code 251C00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1710012000 assigned to Lifetime Potentials, Inc.?
The Lifetime Potentials, Inc. was issued its 1710012000 on 2007-02-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lifetime Potentials, Inc. most recently updated or revised?
The information pertaining to Lifetime Potentials, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2017-10-11.
NPI Number: 1013917590
Address: 1100 Halle Park Cir Ste 101, Collierville, TN