LIFELINE TREATMENT CENTER (NPI# 1689039992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689039992 |
| Entity Type | Organization |
| Organization Name | LIFELINE TREATMENT CENTER |
| Practice Address |
5710 Oleander Dr Ste 100 Wilmington NC 28403 |
| Mailing Address |
5710 Oleander Dr Ste 100 Wilmington NC 28403-4723 |
| Practice Telephone | 8886005147 |
| Practice Fax Number | 9107697173 |
| Mailing Telephone | 8886005147 |
| Mailing Fax Number | 9107697173 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | ALEXANDER LIND (PRESIDENT) |
| Authorized Official Telephone | 8886005147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891243127 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2016-09-15 |
| Street Address |
5710 OLEANDER DR STE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508490467 | Ella Leatham Deaver | Counselor | 5710 Oleander Dr Ste 100, Wilmington, NC 28403-4723 | 2020-02-28 |
| 1740837459 | Rodney Lee Hampton | Counselor | 5710 Oleander Dr Ste 100, Wilmington, NC 28403-4723 | 2019-08-19 |
| 1891243127 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2016-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| 1881079598 | Tizita Mengistu | Pharmacist | 23 South Kerr Ave., Wilmington, NC 28403 | 2015-07-23 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427954 | Ch Mh Services (de), LLC | Clinic/Center | 2417 Lancaster Ave Unit 110, Wilmington, DE 19805-3736 | 2020-11-06 |
| 1144830738 | Aviva Mental Health Services Inc | Clinic/Center | 219 W 9th St, Wilmington, DE 19801-1619 | 2020-08-07 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1487004651 | Joseph Luther Sampson Jr. | Clinic/Center | 2705 Shandy Ln, Wilmington, NC 28409-2042 | 2016-06-17 |
| 1508225905 | Connections Csp Brandywine Street Women's Residential Treatment Progra | Clinic/Center | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2016-02-15 |
| 1609291806 | Advanced Behavioral Medicine, LLC | Clinic/Center | 2711 Centerville Rd, Suite 400, Wilmington, DE 19808-1660 | 2014-02-25 |
| 1073768123 | Gaudenzia Inc | Clinic/Center | 604 W 10th St, Wilmington, DE 19801-1424 | 2008-11-17 |
| 1902825169 | Wilmington Treatment Center, Inc. | Clinic/Center | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2006-07-19 |
| 1972819845 | Holcomb Associates Inc. | Clinic/Center | 2400 W 4th St, Wilmington, DE 19805-3306 | 2010-08-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.