Life Extensions Llc

LBN: Life Extensions Llc
Life Extensions Llc is an health care organization with primary practice located at 1003 Dresser Ct , Raleigh NC 27609-7323. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Life Extensions Llc can be contacted via phone (919) 532-9855, or through Green, Stella L via phone (919) 532-9855.

Contact Information

Primary practice address
1003 Dresser Ct Raleigh NC 27609-7323
Phone: (919) 532-9855
Fax: (919) 803-7231
Website:
Map and Directions
Authorized official contact:
Name: Green, Stella L MSW LCAS CSI SAP
Phone: (919) 532-9855

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1528688678
LBN Legal business name Life Extensions Llc
DBA Doing business as
Authorized official Green, Stella L MSW LCAS CSI SAP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2020
Last updated Mar 30th, 2022 - about 4 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 1528688678 NPPES
North Carolina MEDICAID 152868867
North Carolina MEDICAID 1790042356

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