Organization Active NPI

Lifeline Homecare Inc.

  • In Home Supportive Care Agency
  • Somerset, KY
National Provider Identifier
1083046338
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFELINE HOMECARE INC.
Practice address
246 Poplar Ave
Suite 3
Somerset, KY 42503-1701
Phone
(606) 678-4032
Fax
(606) 678-9157
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Mr. James T Wilson
Title
Owner
Phone
(606) 678-4032

Specialties & licenses 1

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

Addresses

Primary practice location

246 Poplar Ave
Suite 3
Somerset, KY 42503-1701

Mailing address

246 Poplar Ave
Suite 3
Somerset, KY 42503-1701
Phone (606) 678-4032

National Provider Directory

National Provider Directory

Locations

246 Poplar Ave
Ste 3
Somerset, KY 42503
Phone (606) 678-4032

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1083046338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 POPLAR AVE",
            "address_2": "SUITE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031701",
            "telephone_number": "606-678-4032",
            "fax_number": "606-678-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 POPLAR AVE",
            "address_2": "SUITE 3",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031701",
            "telephone_number": "606-678-4032",
            "fax_number": "606-678-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-678-4032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.