OrganizationActive
Life Change Outreach Organization, Inc
NPI 1982036133 · Case Management Agency · Mascotte, FL
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(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.