Lifeline Health, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LIFELINE HEALTH, INC.

Practice address

1311 N Federal Hwy # 1
Hollywood, FL 33020-3631

Phone

(888) 202-6052

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Gary Kogan

Title

Executive Director

Phone

(888) 202-6052

Specialties & licenses 2

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1003535469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N FEDERAL HWY # 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203631",
            "telephone_number": "888-202-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N FEDERAL HWY # 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203631",
            "telephone_number": "888-202-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "888-202-6052"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@lifelinehealthfl.org",
            "affiliation": "N",
            "endpointDescription": "Secured Site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1311 N Federal Hwy # 1",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330203631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol B. Lieberman, ARNP
• Yennis Liermo, APRN
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• Life Is Good Therapy LLC
• Life Is Precious Assisted Living, L.L.C
• Lifestyle Living LLC
• Lifestyle Living LLC
• Lifeworks Therapies, LLC
• Claudia P. Lifland, LCSW, LMFT
• Leah Karen Light, AU.D.

• Health Service Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.