Lifeline Nursing Agency, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

4000556 Issued in IL

Legal business name

LIFELINE NURSING AGENCY, INC.

Practice address

5119 Briarwood Rd
Woodstock, IL 60098-7626

Phone

(224) 888-8181

NPI assigned

Jun 28, 2018

Last updated

Sep 2, 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

Kelly Whistler

Title

Owner

Phone

(224) 595-7221

Specialties & licenses 4

Addresses

Other identifiers 2

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.

• Nancy Kent, RN

  • Registered Nurse
  • Woodstock, IL
  • NPI 1609633858
  NPD (past)

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1073008363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 BRIARWOOD RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 BRIARWOOD RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987626",
            "telephone_number": "224-888-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE NURSING AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "WHISTLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-595-7221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "HF114153",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "4000556",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000556",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "HF114153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IL",
            "identifier": "1073008363",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPT OF PUBLIC HEALTH",
            "identifier": "4000556",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lela Iduna,P.C. (EnLiven Me)
• Leo a. Reyes, M.D.,P.C.
• Anthony Leung, PHARMACIST
• Denene S Lewis, LCPC
• Adrienne J Liebich
• Daniel Lim
• Teresa Bernadette Lindahl, LSW
• Kate Lynn Lisk
• Melissa Marie Loesch, QMHP
• Betsy Lohr, PHD

• Nursing Care Agency in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.