Organization Active NPI

Lifetime Home Care LLC

  • In Home Supportive Care Agency
  • Dallas, TX
National Provider Identifier
1033557905
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFETIME HOME CARE LLC
Practice address
7373 Valley View LN Apt 1060
Dallas, TX 75240-5561
Phone
(770) 771-1696
NPI assigned
Jun 12, 2013
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Eglou G Lokou
Title
Co Owner
Phone
(770) 771-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7373 Valley View LN Apt 1060
Dallas, TX 75240-5561

Mailing address

2749 Douglas Dr N
Crystal, MN 55422-2401
Phone (770) 771-1696

Other names 1

  • LIFETIME HOME CARE Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1033557905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554222401",
            "telephone_number": "770-771-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 VALLEY VIEW LN APT 1060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405561",
            "telephone_number": "770-771-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "LOKOU",
        "authorized_official_first_name": "EGLOU",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "770-771-1696"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFETIME HOME CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.