OrganizationActive
Life Enhancement Services, LLC
NPI 1093100950 · Community/Behavioral Health Agency · Washington, DC
Provider details
- NPI number
- 1093100950
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Herbert Gray, Manager(704) 560-4332
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1818 New York Ave Ne Ste 115
Washington, DC 20002-1851
Phone: (202) 269-2401
Fax: (202) 269-2402
Approximate (ZIP-level) locationGet directions
Mailing address
13016 Eastfield Rd Ste 200-269
Huntersville, NC 28078-6622
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.