Envisions Of Life, Llc in Greensboro - Residential Treatment Facility, Emotionally Disturbed Children
Envisions Of Life, Llc - NPI 1972700763
Envisions Of Life, Llc is a Residential Treatment Facility, Emotionally Disturbed Children in Greensboro, North Carolina. Envisions Of Life, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Envisions Of Life, Llc is 1972700763. The last update date is 2011-07-26.
Envisions Of Life, Llc's current location address is 307 S Swing Rd Ste 5, 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 307 S Swing Rd Ste 5, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Envisions Of Life, Llc |
|---|---|
| Address | 307 S Swing Rd Ste 5, Greensboro, North Carolina |
| Phone Number | 3368870708 |
| Fax Number | 3368871085 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moore Michelle Tomeko |
| Telephone Number | 3368870708 |
NPI Number Detail
| NPI Number | 1972700763 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2011-07-26 |
Provider Mailing Address Detail
| Address | 307 S Swing Rd Ste 5 |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274092073 |
| Phone Number | 3368870708 |
| Fax Number | 3368871085 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL 041 179 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6604062 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Envisions Of Life, Llc by the Centers for Medicare & Medicaid Services?
The Envisions Of Life, Llc has been assigned the NPI (National Provider Identifier) 1972700763 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Envisions Of Life, Llc is physically located?
The Envisions Of Life, Llc is physically situated at the following address: 307 S Swing Rd Ste 5, Greensboro, NC, 274092073.
What is Envisions Of Life, Llc's area of expertise and its corresponding taxonomy classification?
The Envisions Of Life, Llc's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1972700763 to Envisions Of Life, Llc?
The Centers for Medicare & Medicaid Services assigned the 1972700763 to Envisions Of Life, Llc on 2007-06-27.
When was the information pertaining to Envisions Of Life, Llc most recently updated or revised?
The details related to Envisions Of Life, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2011-07-26.
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