Provider Demographics
NPI:1932447778
Name:LIFE ENHANCEMENT SVCS., LLC
Entity Type:Organization
Organization Name:LIFE ENHANCEMENT SVCS., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHIEFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-423-0311
Mailing Address - Street 1:128 LINCOLN AVE
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-1302
Mailing Address - Country:US
Mailing Address - Phone:973-423-0311
Mailing Address - Fax:973-423-0477
Practice Address - Street 1:128 LINCOLN AVE
Practice Address - Street 2:FLOOR 1
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-1302
Practice Address - Country:US
Practice Address - Phone:973-423-0311
Practice Address - Fax:973-423-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251C00000XAgenciesDay Training, Developmentally Disabled Services