Life House Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFE HOUSE HOSPICE, INC

Practice address

570 State St
Cookeville, TN 38501-3718

Phone

(931) 881-6417

NPI assigned

Jul 17, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Connie Mitchell

Title

Ceo

Phone

(931) 881-6417

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1003223462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 STATE ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013718",
            "telephone_number": "931-881-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 STATE ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013718",
            "telephone_number": "931-881-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOUSE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-881-6417"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harley C Lewis, BEHAVIOR TECHNICIAN
• Samantha Nicole Lewis
• Stephanie Elaine Lewis, RBT
• Toshua M Lewis, BEHAVIOR TECHNICIAN
• Brooklynne Adele Lichtle
• Life House, LLC
• Lifecare Family Services
• Lifeline
• Kenya Liggons
• Chelsey Nicole Light, RN

• Community Based Hospice Care Agency in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Community Based Hospice Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.