THE LIFE CENTER COMPLEX, INC (NPI# 1467939082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467939082 |
| Entity Type | Organization |
| Organization Name | THE LIFE CENTER COMPLEX, INC |
| Other Organization Name | THE LIFE HEALTH CENTER AT EISENBERG |
| Practice Address |
27 Landers Ln New Castle DE 19720-2022 |
| Mailing Address |
222 Philadelphia Pike Ste 13-15 Wilmington DE 19809-3166 |
| Practice Telephone | 3024294083 |
| Practice Fax Number | 3024294078 |
| Mailing Telephone | 3025523574 |
| Mailing Fax Number | 3025523561 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | MR. FORREST WATSON III (CEO) |
| Authorized Official Telephone | 3025523574 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | THE LIFE CENTER COMPLEX, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
DE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Life Health Center | Doing Business As Name - Organization |
| The Life Health Center at Eisenberg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811475148 | The Life Center Complex, Inc | Clinic/Center | 502 Moores Ln, New Castle, DE 19720-3469 | 2018-07-30 |
| 1043798366 | The Life Center Complex, Inc | Clinic/Center | 16 Pleasant Pl, New Castle, DE 19720-3005 | 2018-07-30 |
| 1700364031 | The Life Center Complex, Inc | Clinic/Center | 903 Delaware St, New Castle, DE 19720-6029 | 2018-07-30 |
| 1861970188 | The Life Center Complex, Inc | Clinic/Center | 1201 Delaware St, New Castle, DE 19720-6057 | 2018-07-30 |
| 1346728672 | The Life Center Complex, Inc | Clinic/Center | 200 E Roosevelt Ave, New Castle, DE 19720-3316 | 2018-07-30 |
| 1770808578 | The Life Center Complex, Inc | Psychologist | 1624 Jessup St, Wilmington, DE 19802-4210 | 2010-04-05 |
| 1669012993 | The Life Center Complex, Inc | Clinic/Center | 700 N Lombard St, Wilmington, DE 19801-4217 | 2020-01-15 |
| 1427600220 | The Life Center Complex, Inc | Clinic/Center | 12 Landers Ln, New Castle, DE 19720-2023 | 2019-07-11 |
| Street Address |
27 LANDERS LN |
| City | NEW CASTLE |
| State | DE |
| Zip Code | 19720-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804992 | Lauren Ann Sokolnicki | Behavioral Analyst | 11 Fantail Ct, New Castle, DE 19720 | 2019-08-01 |
| 1376100834 | Stewart M Campbell | Student in an Organized Health Care Education/Training Program | 1901 N. Dupont Highway, Springer Building, New Castle, DE 19720 | 2019-05-21 |
| 1780142307 | Joseph Vincent Nepi Jr. | Specialist/Technologist | 116 W 8th St, New Castle, DE 19720 | 2019-03-04 |
| 1730662933 | Delaware Adult Daycare LLC | Clinic/Center | 28 Parkway Circle, New Castle, DE 19720 | 2018-09-13 |
| 1275014367 | The Life Center Complex, Inc. | Clinic/Center | 795 Cox Neck Rd, New Castle, DE 19720 | 2018-08-27 |
| 1609305051 | Susan Lydia Brown | Massage Therapist | 25 Jay Drive, New Castle, DE 19720 | 2017-06-08 |
| 1609323211 | Deirdre Smith | Speech-Language Pathologist | 61 Corporate Circle, Easter Seals De & Md, New Castle, DE 19720 | 2016-09-01 |
| 1528515145 | Meghna Jipson | Nurse Anesthetist, Certified Registered | 2 Reads Way, Suite 201, Newcastle, DE 19720 | 2016-09-01 |
| 1194170522 | Kelly Groff | Registered Nurse | 301 E Basin Rd, New Castle, DE 19720 | 2016-05-04 |
| 1891157699 | Salman N. Salaria | Psychiatry & Neurology | 1901 North Dupont Highway, Delaware Psychiatric Center, New Castle, DE 19720 | 2016-03-22 |
| Find all providers in zip 19720 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275014367 | The Life Center Complex, Inc. | Clinic/Center | 795 Cox Neck Rd, New Castle, DE 19720 | 2018-08-27 |
| 1811475148 | The Life Center Complex, Inc | Clinic/Center | 502 Moores Ln, New Castle, DE 19720-3469 | 2018-07-30 |
| 1043798366 | The Life Center Complex, Inc | Clinic/Center | 16 Pleasant Pl, New Castle, DE 19720-3005 | 2018-07-30 |
| 1700364031 | The Life Center Complex, Inc | Clinic/Center | 903 Delaware St, New Castle, DE 19720-6029 | 2018-07-30 |
| 1861970188 | The Life Center Complex, Inc | Clinic/Center | 1201 Delaware St, New Castle, DE 19720-6057 | 2018-07-30 |
| 1346728672 | The Life Center Complex, Inc | Clinic/Center | 200 E Roosevelt Ave, New Castle, DE 19720-3316 | 2018-07-30 |
| 1912545518 | The Life Center Complex, Inc. | Clinic/Center | 20 Chase Ave, New Castle, DE 19720-1236 | 2019-12-13 |
| 1427600220 | The Life Center Complex, Inc | Clinic/Center | 12 Landers Ln, New Castle, DE 19720-2023 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024394 | Christiana Care Health Services Inc | Clinic/Center | 100 W 18th St, Wilmington, DE 19802-4836 | 2019-07-12 |
| 1174004345 | The Life Center Complex, Inc. | Clinic/Center | 4050 Wrangle Hill Rd, Bear, DE 19701 | 2018-08-27 |
| 1811383219 | Amy Hayes | Clinic/Center | 29772 Armory Rd, Dagsboro, DE 19939-4354 | 2015-04-13 |
| 1174879456 | Beebe Physicians Network, Inc | Clinic/Center | 29772 Armory Road, Dagsboro, DE 19939-4354 | 2012-07-24 |
| 1669012993 | The Life Center Complex, Inc | Clinic/Center | 700 N Lombard St, Wilmington, DE 19801-4217 | 2020-01-15 |
| 1619227691 | Affinity Health Medical Systens | Clinic/Center | 3301 Green St, Suite 235, Claymont, DE 19703-2052 | 2012-09-17 |
| 1124375241 | Beebe Physicians Network, Inc. | Clinic/Center | 26026 Patriots Way, Georgetown, DE 19947 | 2012-08-08 |
| 1356629984 | Nanticoke Wellness Seaford | Clinic/Center | 200 N 8th St, Delmar, DE 19940-1374 | 2011-08-01 |
| 1063555605 | University of Delaware Student Health Service | Clinic/Center | 282 The Green, University of Delaware, Newark, DE 19716-8101 | 2007-02-14 |
| 1225178577 | Denise Wachter Jones | Clinic/Center | 1200 N Dupont Hwy, Dover, DE 19901-2202 | 2007-02-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW CASTLE |
| Zip Code | 19720 |
Please comment or provide details below to improve the information on THE LIFE CENTER COMPLEX, INC.
| 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.