Envisions Of Life, Llc in Greensboro - Community Based Residential Treatment Facility, Mental Illness
Envisions Of Life, Llc - NPI 1881891695
Envisions Of Life, Llc is a Community Based Residential Treatment Facility, Mental Illness in Greensboro, North Carolina. Envisions Of Life, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Envisions Of Life, Llc is 1881891695. The last update date is 2017-03-08.
Envisions Of Life, Llc's current location address is 5 Centerview Dr., Greensboro, North Carolina. You can contact this provider via phone number 3368870708 and fax number 3368871085. The mailing address for Envisions Of Life, Llc is 5 Centerview Dr., Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Envisions Of Life, Llc |
|---|---|
| Address | 5 Centerview Dr., Greensboro, North Carolina |
| Phone Number | 3368870708 |
| Fax Number | 3368871085 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moore Tomeko |
| Credentials | LCAS, LCSW |
| Telephone Number | 3368870708 |
NPI Number Detail
| NPI Number | 1881891695 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2017-03-08 |
Provider Mailing Address Detail
| Address | 5 Centerview Dr. |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274073709 |
| Phone Number | 3368870708 |
| Fax Number | 3368871085 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 041-699 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603624 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Envisions Of Life, Llc?
The Envisions Of Life, Llc has been issued the NPI (National Provider Identifier) 1881891695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Envisions Of Life, Llc's facilities are geographically located?
The facilities of Envisions Of Life, Llc are physically situated at the following location: 5 Centerview Dr., Greensboro, NC, 274073709.
What is Envisions Of Life, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Envisions Of Life, Llc is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881891695 to Envisions Of Life, Llc?
The Envisions Of Life, Llc received its 1881891695 assignment from the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date were the details related to Envisions Of Life, Llc most recently updated or revised?
The information pertaining to Envisions Of Life, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-08.