THE LIFE CENTER COMPLEX, INC (NPI# 1669012993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669012993 |
| Entity Type | Organization |
| Organization Name | THE LIFE CENTER COMPLEX, INC |
| Practice Address |
700 N Lombard St Wilmington DE 19801-4217 |
| Mailing Address |
222 Philadelphia Pike Ste 13 Wilmington DE 19809-3166 |
| Practice Telephone | 3024294102 |
| Practice Fax Number | 3024293956 |
| Mailing Telephone | 3024075316 |
| Mailing Fax Number | 3024293956 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | MR. FORREST WATSON III (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3024075316 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Life Health Center @ Bancroft | 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 |
| 1467939082 | The Life Center Complex, Inc | Clinic/Center | 27 Landers Ln, New Castle, DE 19720-2022 | 2018-07-26 |
| 1770808578 | The Life Center Complex, Inc | Psychologist | 1624 Jessup St, Wilmington, DE 19802-4210 | 2010-04-05 |
| 1427600220 | The Life Center Complex, Inc | Clinic/Center | 12 Landers Ln, New Castle, DE 19720-2023 | 2019-07-11 |
| Street Address |
700 N LOMBARD ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801293022 | Lighthouse Therapeutic Mentoring & Counseling Services, LLC | Social Worker | 700 N Lombard St, Wilmington, DE 19801-4217 | 2014-12-03 |
| 1396371159 | Erin Weathers | Speech-Language Pathologist | 700 N Lombard St, Wilmington, DE 19801-4299 | 2020-03-12 |
| 1013485192 | Kathryn Mahoney | Speech-Language Pathologist | 700 N Lombard St, Wilmington, DE 19801-4217 | 2018-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024394 | Christiana Care Health Services Inc | Clinic/Center | 100 W 18th St, Wilmington, DE 19802-4836 | 2019-07-12 |
| 1720429665 | Uncw Student Health Center | Clinic/Center | 601 S College Rd, 2003 Depaolo Hall, Wilmington, NC 28403-3201 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275014367 | The Life Center Complex, Inc. | Clinic/Center | 795 Cox Neck Rd, New Castle, DE 19720 | 2018-08-27 |
| 1174004345 | The Life Center Complex, Inc. | Clinic/Center | 4050 Wrangle Hill Rd, Bear, DE 19701 | 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 |
| 1467939082 | The Life Center Complex, Inc | Clinic/Center | 27 Landers Ln, New Castle, DE 19720-2022 | 2018-07-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
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.