Lifecare Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

550001351 Issued in CA

Legal business name

LIFECARE HOME HEALTH, INC.

Practice address

24404 Vermont Ave
Suite 206
Harbor City, CA 90710-2313

Phone

(310) 539-6889

Fax

(310) 517-0171

NPI assigned

Apr 22, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Bolademi Adetola, RNNPI 1598938995

Title

Administrator

Phone

(310) 539-6889

Specialties & licenses 1

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.

• Bolademi Adetola, RN

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
  • NPI 1598938995
  NPD (past) Authorized official

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1083858062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE",
            "address_2": "SUITE 206",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102313",
            "telephone_number": "310-539-6889",
            "fax_number": "310-517-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE",
            "address_2": "SUITE 206",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102313",
            "telephone_number": "310-539-6889",
            "fax_number": "310-517-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "ADETOLA",
        "authorized_official_first_name": "BOLADEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-539-6889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF LOS ANGELES",
            "identifier": "0000285452",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS-MEDICARE",
            "identifier": "059313",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Lepe, BA, RBT
• Dennis Lew, MD
• Patricia Ann Lewis, MA
• Sheralyn Lewis, AUD
• Theodore C. Liang, MD
• David B. Lim, MD
• Lin Thu Dental Corporation
• Albert Lin, MD
• Andrew Boyd Lin, MD
• James Lin, DDS

• Home Health Agency in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.