LIFE CHANGE OUTREACH ORGANIZATION, INC (NPI# 1982036133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982036133 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGE OUTREACH ORGANIZATION, INC |
| Other Organization Name | LCO |
| Practice Address |
55 Bluff Lake Rd Suite A Mascotte FL 34753-9501 |
| Practice Telephone | 3522556458 |
| Practice Fax Number | 3524106118 |
| Mailing Telephone | 3522556458 |
| Mailing Fax Number | 3524106118 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | MRS. NABUCHI G ANDERSON (PROGRAM MANAGER, OWNER) |
| Authorized Official Telephone | 3522556458 |
| Authorized Official Credential | REGISTERED MHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 232916 | FL | Agencies |
| N | 253Z00000X | In Home Supportive Care | 232916 | FL | Agencies |
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| LCO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225401912 | Life Change Outreach Organization, Inc | Home Health | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2015-11-04 |
| Street Address |
55 BLUFF LAKE RD SUITE A |
| City | MASCOTTE |
| State | FL |
| Zip Code | 34753-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548723356 | Anthony Alan Anderson | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| 1386107100 | Redefining Abilities LLC | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336347426 | Takita's Helping Hand | Day Training, Developmentally Disabled Services | 255 Boca Ciega Rd, Mascotte, FL 34753 | 2007-07-10 |
| 1871070920 | Justo Nual Perez | Registered Nurse | 16 Lake Jackson Dr, Mascotte, FL 34753-8806 | 2018-07-22 |
| 1285863589 | Andrea Geraldine Delph | Occupational Therapist | 5136 Pine Needle Dr, Mascotte, FL 34753-8867 | 2009-07-08 |
| 1700134715 | Nabuchi Grace Anderson | Counselor | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2012-08-22 |
| 1538614540 | Grace's Support Services, LLC | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2016-08-19 |
| 1225401912 | Life Change Outreach Organization, Inc | Home Health | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2015-11-04 |
| 1992057723 | Life Change Outreach Organization | Case Manager/Care Coordinator | 15508 Willet Ct, Mascotte, FL 34753-9102 | 2012-10-03 |
| 1114479367 | Jamie Small | Behavior Technician | 301 Boca Ciega Rd, Mascotte, FL 34753-9224 | 2016-11-03 |
| 1174825210 | Lazina Johannah Thomas | Case Manager/Care Coordinator | 315 Carol St, Mascotte, FL 34753-9253 | 2010-11-22 |
| 1619535655 | Antonio Norat Jr. | Driver | 16033 Worthington Blvd N, Mascotte, FL 34753-9613 | 2019-06-04 |
| Find all providers in zip 34753 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336113 | Health Sunshine Wellness Corp | Case Management | 3525 Nw 7th St Ste 1a, Miami, FL 33125-4015 | 2020-11-06 |
| 1821699216 | Eligibolt LLC | Case Management | 1457 E Bexley Park Dr, Delray Beach, FL 33445-3543 | 2020-11-03 |
| 1457951030 | Best Behavioral Health Case Management Services | Case Management | 753 Ne 79th St Unit Cu-2, Miami, FL 33138-4711 | 2020-10-31 |
| 1316547169 | Miguel F Perez Mba & Associates LLC | Case Management | 4995 Nw 72nd Ave Ste 400, Miami, FL 33166-5643 | 2020-10-30 |
| 1518567551 | Sandra Ivette Rivera Sr. | Case Management | 7315 Kaha St Unit 344, Orlando, FL 32822-5684 | 2020-10-28 |
| 1831799030 | Sunset Case Management Service Corp | Case Management | 4238 Hollywood Blvd Ste 202, Hollywood, FL 33021-6600 | 2020-10-27 |
| 1306446612 | Sunrise Medical Wellness LLC | Case Management | 1761 W Hillsboro Blvd Ste 403, Deerfield Beach, FL 33442-1563 | 2020-10-27 |
| 1346849585 | Yasel Carballo Camero | Case Management | 5590 W 20th Ave Ste 400, Hialeah, FL 33016-7062 | 2020-10-20 |
| 1396344628 | Julio Cuellar | Case Management | 12905 Sw 42nd St Ste 209, Miami, FL 33175-2912 | 2020-10-19 |
| 1437757911 | Aristides Marcial Gomez | Case Management | 10135 Nw 127th St, Hialeah Gardens, FL 33018-7438 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.