Provider Demographics
NPI:1679996441
Name:THE SWEET LIFE, LLC
Entity type:Organization
Organization Name:THE SWEET LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKI
Authorized Official - Middle Name:CHERNOCK
Authorized Official - Last Name:SOMLYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-825-1233
Mailing Address - Street 1:11360 STRANG LINE RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4041
Mailing Address - Country:US
Mailing Address - Phone:913-825-1233
Mailing Address - Fax:913-825-1243
Practice Address - Street 1:11360 STRANG LINE RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4041
Practice Address - Country:US
Practice Address - Phone:913-825-1233
Practice Address - Fax:913-825-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
KS320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services