LIFE CHANGE OUTREACH ORGANIZATION – Case Manager/Care Coordinator, NPI 1467704437

LIFE CHANGE OUTREACH ORGANIZATION is a healthcare provider. based in Clermont, Florida. specializing in Case Manager/Care Coordinator. The NPI Number for LIFE CHANGE OUTREACH ORGANIZATION is 1467704437

Main info

Organization
Name
LIFE CHANGE OUTREACH ORGANIZATION
NPI
1467704437
Phone
(352) 255-6458
Address
1135 TENTH ST
Authorized Official
MRS. NABUCHI GRACE ANDERSON OWNER
Enumeration Date
15 October 2012
Last Update Date
15 October 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for LIFE CHANGE OUTREACH ORGANIZATION

  • 1135 TENTH ST

    SUITE A

    CLERMONT, FL 34711

    Phone: (352) 255-6458

    Type: Location

  • PO BOX 444

    MASCOTTE, FL 347530444

    Phone: (352) 255-6458

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34711)

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Reviews

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Frequently asked questions

Does LIFE CHANGE OUTREACH ORGANIZATION share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LIFE CHANGE OUTREACH ORGANIZATION uses 1467704437.
Is LIFE CHANGE OUTREACH ORGANIZATION still practicing?
LIFE CHANGE OUTREACH ORGANIZATION is currently listed as active in the public NPI registry.
What is LIFE CHANGE OUTREACH ORGANIZATION best known for clinically?
Directory data describes LIFE CHANGE OUTREACH ORGANIZATION with Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
What address line appears for LIFE CHANGE OUTREACH ORGANIZATION?
LIFE CHANGE OUTREACH ORGANIZATION's geographic hint is Clermont, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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