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LIFE SERVICE PROFESSIONAL CORP
NPI 1659484053
Specialist in Gary, IN

Active since August 17, 2006
1015 N SHELBY ST, GARY, IN 46403(219) 938-0920(219) 938-0923 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020, Jun 21, 2018 (3 updates tracked since 2018).

About Life Service Professional Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SERVICE PROFESSIONAL CORP (NPI 1659484053) is a healthcare organization registered as a specialist in Gary, Indiana and active in the NPI registry since August 2006. The organization lists Geraldine Barron-simpson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659484053
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLIFE SERVICE PROFESSIONAL CORP
Location Address1015 N SHELBY STGary, IN 46403-1446
Mailing Address1015 N Shelby StGary, IN 46403-1446 · (219) 938-0920 · Fax (219) 938-0923
Phone(219) 938-0920
Fax(219) 938-0923
Organization SubpartNo
Authorized OfficialGeraldine Barron-simpsonOffice Manager · (219) 938-0920
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1659484053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1015 N SHELBY ST, Gary, IN 46403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTHNET INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1015 N SHELBY ST
GARY, IN 46403
Lake County (219) 880-1190
LASHANNA SHANICE LOVELL M.D.
Pediatrics
1015 N SHELBY ST
GARY, IN 46403
Lake County (219) 938-0921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Service Professional Corp's NPI number?

The NPI number for Life Service Professional Corp is 1659484053. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Life Service Professional Corp located?

Life Service Professional Corp is located at 1015 N Shelby St, Gary, IN 46403. The listed phone number is (219) 938-0920.

What is Life Service Professional Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Life Service Professional Corp was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.