CMS-1500 Box 24J / 33a • NPI
1417183906
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
323P00000X
Licensed & Credentialed Psychiatric Residential Treatment Facility
Box 32 Service Location & ZIP+4
290 WILLAMETTE ST, UMATILLA, OR, 97882-6601
✓ 9-Digit EDI 837 ZIP+4 (97882-6601)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1417183906 (LIFEWAYS, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1417183906 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | LIFEWAYS, INC |
| Plain-English Specialty | Licensed & Credentialed Psychiatric Residential Treatment Facility NUCC Code: 323P00000X (Psychiatric Residential Treatment Facility) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 290 WILLAMETTE ST, UMATILLA, OR, 97882-6601 |
| Practice Telephone / Fax | Tel: (541) 889-9167 | Fax: (541) 889-7873 |
| Administrative Mailing Address | 702 SUNSET DR, ONTARIO, OR, 97914-3121 |
| Enumeration & Last Sync | Enumerated: 2009-06-10 | CMS Record Updated: 2015-12-10 |
| Authorized Official | JUDY CORDENIZ (CEO) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (323P00000X)
What Does Taxonomy Code 323P00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 323P00000X translates to:
"Licensed & Credentialed Psychiatric Residential Treatment Facility"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LIFEWAYS, INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
385H00000X — Respite CarePlain English: Licensed & Credentialed Respite Care | State: OR | License: Verified | Primary: Secondary |
323P00000X — Psychiatric Residential Treatment FacilityPlain English: Licensed & Credentialed Psychiatric Residential Treatment Facility | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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