OrganizationActive
Life Change Outreach Organization
NPI 1992057723 · Case Manager/Care Coordinator · Mascotte, FL
Provider details
- NPI number
- 1992057723
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Nabuchi Anderson, Owner(352) 255-6458
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 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
15508 Willet Ct
Mascotte, FL 34753-9102
Phone: (352) 255-6458
Street-level locationGet directions
Mailing address
15508 Willet Ct
Mascotte, FL 34753-9102
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2012-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.