Life Builders Homecare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFE BUILDERS HOMECARE SERVICES LLC

Practice address

6111 Harrison St Ste 207
Merrillville, IN 46410-2971

Phone

(219) 670-0311

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chavonda Marshall-JacksonNPI 1801394721

Title

Owner

Phone

(219) 670-0311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chavonda Marshall - Jackson, ED.D., LMHC

  • Mental Health Counselor
  • Plymouth, IN
  • NPI 1801394721
  NPD Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1043802028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST STE 207",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102971",
            "telephone_number": "219-670-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST STE 207",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102971",
            "telephone_number": "219-670-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BUILDERS HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-JACKSON",
        "authorized_official_first_name": "CHAVONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-670-0311",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lewis
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• Life DME LLC
• Lift Counseling Services LLC (LIFT Counseling Services)
• Lightbulb Learning Inc.
• Nancy Marguerite Lijewski, RNFA
• Michael Lindsey, H.A.D

• In Home Supportive Care Agency in Merrillville, IN
• Providers in Merrillville, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.