OrganizationActive
Life Change Outreach Organization, Inc
NPI 1982036133 · Case Management Agency · Mascotte, FL
Life Change Outreach Organization, Inc is a Case Management Agency organization in Mascotte, FL (NPI 1982036133).
Provider details
- NPI number
- 1982036133
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nabuchi Anderson, Program Manager, Owner(352) 255-6458
- License
- 232916 (FL)
Specialties & taxonomies
Agencies
Agencies
Agencies
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
55 Bluff Lake Rd
Suite a
Mascotte, FL 34753-9501
Phone: (352) 255-6458
Fax: (352) 410-6118
Street-level locationGet directions
Mailing address
55 Bluff Lake Rd
Mascotte, FL 34753-9501
Other names (DBA / former)
- Doing business as
- Lco
Registry dates
- Enumerated
- 2013-07-30
- Last updated
- 2013-07-30
Frequently asked questions
- What is Life Change Outreach Organization, Inc's NPI number?
- Life Change Outreach Organization, Inc's National Provider Identifier (NPI) is 1982036133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Change Outreach Organization, Inc?
- Life Change Outreach Organization, Inc is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Life Change Outreach Organization, Inc located?
- Life Change Outreach Organization, Inc's practice location on file with NPPES is 55 Bluff Lake Rd, Mascotte, FL 34753-9501.
- What is Life Change Outreach Organization, Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Change Outreach Organization, Inc is (352) 255-6458.
- Who is the authorized official for Life Change Outreach Organization, Inc?
- The authorized official listed on Life Change Outreach Organization, Inc's NPPES record is Nabuchi Anderson, Program Manager, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Change Outreach Organization, Inc's NPI active?
- Yes — Life Change Outreach Organization, Inc's NPI (1982036133) is active in the NPPES registry as of the last update on 2013-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.