Life Enhancement Services - Tennessee

LBN: Life Enhancement Services - Tennessee
Life Enhancement Services - Tennessee is an health care organization with primary practice located at 1180 Minna Pl , Memphis TN 38104-4607. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Suppliers / Durable Medical Equipment & Medical Supplies. Agencies / Case Management is the primary health care specialty. Life Enhancement Services - Tennessee can be contacted via phone (901) 336-8414, or through Yates, Mark via phone (901) 336-8414.

Contact Information

Primary practice address
1180 Minna Pl Memphis TN 38104-4607
Phone: (901) 336-8414
Fax: (901) 328-1402
Website:
Map and Directions
Authorized official contact:
Name: Yates, Mark
Phone: (901) 336-8414

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1316172141
LBN Legal business name Life Enhancement Services - Tennessee
DBA Doing business as
Authorized official Yates, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2009
Last updated Dec 11th, 2013 - about 13 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 1316172141 NPPES
Tennessee MEDICAID 1513052

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