Active NPIOrganization

Lifetime Healthchoice LLC

Clinic/Center, Developmental Disabilities in East Orange, New Jersey

NPI Number1073009338
Practice location
134 Evergreen Pl Ste 705, East Orange, NJ 07018-2012
Fax
973-695-3795
Last updated
January 7, 2025

Lifetime Healthchoice LLC is a healthcare organization based in East Orange, NJ. Lifetime Healthchoice LLC practices in East Orange, NJ. The NPI Number for Lifetime Healthchoice LLC is 1073009338. The current practice location address for Lifetime Healthchoice LLC is 134 Evergreen Pl Ste 705, East Orange, NJ 07018-2012 and can be reached out via phone at 973-641-8836 and via fax at 973-695-3795.

Provider Profile Details

NPI Number
1073009338
Provider Name
Lifetime Healthchoice LLC
Provider Entity Type
Organization
Address
134 Evergreen Pl Ste 705, East Orange, NJ 07018-2012
Phone Number
973-641-8836
Fax Number
973-695-3795
Primary Taxonomy
Clinic/Center, Developmental Disabilities · 261QD1600X
Organization Subpart
No
Authorized Official
Mr. Dennis Yeboah Kordie, DNP · Owner/Nurse Practitioner · 973-641-8836
Provider Enumeration Date
July 10, 2018
Last Update Date
January 7, 2025
Certification Date
January 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Evergreen Pl Ste 705
East Orange, NJ 07018-2012
Zip
07018-2012
Phone Number
973-641-8836
Fax Number
973-695-3795
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
36 Hawthorne Pl Apt 4M
Montclair, NJ 07042-3277
City
Montclair
State
NJ
Zip
07042-3277
Phone Number
973-641-8836

License Information

Taxonomy
Clinic/Center, Developmental Disabilities · 261QD1600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lifetime Healthchoice LLC?

The NPI number of Lifetime Healthchoice LLC is 1073009338. It was assigned on July 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Lifetime Healthchoice LLC?

Lifetime Healthchoice LLC is registered under the primary taxonomy Clinic/Center, Developmental Disabilities (code 261QD1600X).

Where does Lifetime Healthchoice LLC practice?

The practice location is 134 Evergreen Pl Ste 705, East Orange, NJ 07018-2012. The office can be reached at 973-641-8836 (phone) or 973-695-3795 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073009338 directly on the NPPES registry website.

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