LIFE BASED CONCEPTIONS LLC (NPI# 1831364306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831364306 |
| Entity Type | Organization |
| Organization Name | LIFE BASED CONCEPTIONS LLC |
| Other Organization Name | LBC |
| Practice Address |
1415 W Nc Hwy Ste 209 Durham NC 27707-5578 |
| Mailing Address |
1415 W Nc Highway 54 Ste 209 Durham NC 27707-5577 |
| Practice Telephone | 9194036160 |
| Practice Fax Number | 9196408810 |
| Mailing Telephone | 9194036160 |
| Mailing Fax Number | 9196408810 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | MR. REGINALD GILES CARTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9194036160 |
| Authorized Official Credential | MHQP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | NC | Agencies |
| Other Name | Type Code |
|---|---|
| LBC | Doing Business As Name - Organization |
| Street Address |
1415 W NC HWY STE 209 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-5578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598141871 | Comprehensive Community Care | Day Training, Developmentally Disabled Services | 804 Park Ridge Rd, Apt 8a, Durham, NC 27713-9227 | 2015-08-10 |
| 1427334499 | A Small Miracle, Inc. | Day Training, Developmentally Disabled Services | 3500 Westgate Dr Ste 303, Durham, NC 27707-2534 | 2011-10-22 |
| 1871819151 | Mrs Jennie's Place Adult Activity Center Corp | Day Training, Developmentally Disabled Services | 506 Ravenstone Ln, Durham, NC 27703-9621 | 2010-04-12 |
| 1669618765 | Community Resource Connections of North Carolina, LLC | Day Training, Developmentally Disabled Services | 12404 Kendall Ridge Ct, Durham, NC 27703-8542 | 2008-12-21 |
| 1447407325 | Murfin Support Services, LLC | Day Training, Developmentally Disabled Services | 1204 Oval Dr, Durham, NC 27705-3218 | 2008-08-22 |
| 1083861108 | Hidden Treasures of Nc LLC | Day Training, Developmentally Disabled Services | 3215 Guess Rd, Suite 101, Durham, NC 27705-2665 | 2008-08-20 |
| 1336302611 | Youth Extensions Inc. | Day Training, Developmentally Disabled Services | 1915 Chapel Hill Rd Ste A, Durham, NC 27707-1177 | 2008-07-07 |
| 1043470768 | Next Level Adolescent Services, Inc. | Day Training, Developmentally Disabled Services | 1107 Holloway St, Durham, NC 27701-3852 | 2008-06-16 |
| 1992985790 | Wendy's House, Inc. | Day Training, Developmentally Disabled Services | 606 Gattis St, Durham, NC 27701-2832 | 2007-11-08 |
| 1417144304 | Maxim Habilitation Services, LLC | Day Training, Developmentally Disabled Services | 2634 Chapel Hill Blvd, Suite 210, Durham, NC 27707 | 2007-09-25 |
| Find all providers in DURHAM | ||||
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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.