MY LIFE SERVICES LLC (NPI# 1215365879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215365879 |
| Entity Type | Organization |
| Organization Name | MY LIFE SERVICES LLC |
| Practice Address |
1208 Lynx Rd Sw Burlington KS 66839-9249 |
| Practice Telephone | 6203642072 |
| Practice Fax Number | 7852609047 |
| Mailing Telephone | 6203642072 |
| Mailing Fax Number | 7852609047 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |
| Authorized Official Name | SUSAN RACHELLE BECKER (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6202030344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1208 LYNX RD SW |
| City | BURLINGTON |
| State | KS |
| Zip Code | 66839-9249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982850616 | Pathways Payroll Services, LLC | Voluntary or Charitable | 1208 Lynx Rd Sw, Burlington, KS 66839-9249 | 2008-08-13 |
| 1407270168 | Susie Decker Case Management Services LLC | Case Management | 1208 Lynx Rd Sw, Burlington, KS 66839-9249 | 2014-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093136046 | Roland Paranal Sinfuego | Physical Therapist | 601 Cross St., Burlington City, KS 66839 | 2013-12-18 |
| 1407061567 | Megan Rae Bush | Physical Therapist | North 4th Street, Coffey County Hosptial Rehab Services, Burlington, KS 66839 | 2007-05-11 |
| 1093844961 | Thomas Duayne Kesler | Physical Therapy Assistant | 601 Cross Street, Burlington, KS 66839 | 2007-03-05 |
| 1366546368 | R Wayne Kirchner | Chiropractor | 910 North 4th, Burlington, KS 66839 | 2006-09-11 |
| 1669460614 | James H Mcmurray | Dentist | 209 N Main St, New Strawn, KS 66839-0535 | 2005-10-12 |
| 1790817476 | Rachel Michelle Blades Belcher | Occupational Therapist | 505 South 16th Street, Burlington, KS 66839-1105 | 2007-03-09 |
| 1649227398 | Burlington Medical Investors, LLC | Skilled Nursing Facility | 601 Cross St, Burlington, KS 66839-1105 | 2006-05-28 |
| 1639525918 | Laurie Ohl | Occupational Therapy Assistant | 601 Cross St, Burlington, KS 66839-1105 | 2016-05-05 |
| 1528413697 | Heather Bolen | Physical Therapist | 601 Cross St, Burlington, KS 66839-1105 | 2016-04-26 |
| 1447649132 | Rose Winkler | Physical Therapy Assistant | 601 Cross St, Burlington, KS 66839-1105 | 2015-01-18 |
| Find all providers in zip 66839 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1639605843 | Just In Time Youth Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 432 W 5th St, Burlington, NC 27215-3832 | 2017-05-08 |
| 1962825489 | Signal Diymoke White | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 164 Graves St, Burlington, NC 27217-2628 | 2014-02-04 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1225302425 | Creative Directions Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 325 Hall Ave, Burlington, NC 27217-2313 | 2012-03-06 |
| 1538446232 | Triad Health Care Services #2 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 603 Pinnix Rd, Burlington, NC 27217-8555 | 2011-11-08 |
| 1386956183 | Lord Is The Light | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2802 Eldermont St, Apt E, Burlington, NC 27215-6111 | 2010-07-08 |
| 1346571304 | Blackwell's Community Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 426 Somers Ave, Burlington, NC 27215-2032 | 2010-01-14 |
| 1881890788 | Hope Haven Cottonwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 910 Cottonwood Ct Ste 1002, Burlington, IA 52601-1994 | 2007-06-26 |
| 1144354614 | Hope Haven Area Development Center Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2205 Northern Dr, Burlington, IA 52601-2256 | 2007-03-15 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 66839 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.