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LIFE CHANGE OUTREACH ORGANIZATION
NPI 1992057723
Case Manager/Care Coordinator in Mascotte, FL

Active since October 03, 2012
15508 WILLET CT, MASCOTTE, FL 34753(352) 255-6458 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Change Outreach Organization NPPES

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

LIFE CHANGE OUTREACH ORGANIZATION (NPI 1992057723) is a healthcare organization registered as a case manager/care coordinator in Mascotte, Florida and active in the NPI registry since October 2012. The organization lists Nabuchi Grace Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1992057723
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameLIFE CHANGE OUTREACH ORGANIZATION
Location Address15508 WILLET CTMascotte, FL 34753-9102
Mailing Address15508 Willet CtMascotte, FL 34753-9102 · (352) 255-6458
Phone(352) 255-6458
Organization SubpartNo
Authorized OfficialNabuchi Grace AndersonOwner · (352) 255-6458
Enumeration DateOctober 3, 2012
✔ NPI 1992057723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
15508 WILLET CT, Mascotte, FL 34753
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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 3

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

LIFE CHANGE OUTREACH ORGANIZATION, INC
Home Health
15508 WILLET CT
MASCOTTE, FL 34753
Lake County (352) 272-2799
GRACE'S SUPPORT SERVICES, LLC
Case Manager/Care Coordinator
15508 WILLET CT
MASCOTTE, FL 34753
Lake County (352) 255-6458
MRS. NABUCHI GRACE ANDERSON MHC
Community Health Worker
15508 WILLET CT
MASCOTTE, FL 34753
Lake County (352) 255-6458

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 Change Outreach Organization's NPI number?

The NPI number for Life Change Outreach Organization is 1992057723. It was assigned to this organization in the NPPES registry on October 3, 2012.

Where is Life Change Outreach Organization located?

Life Change Outreach Organization is located at 15508 Willet Ct, Mascotte, FL 34753. The listed phone number is (352) 255-6458.

What is Life Change Outreach Organization's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Life Change Outreach Organization was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.