Lifelink Therapy Services, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

470417987 Issued in MI

Legal business name

LIFELINK THERAPY SERVICES, LLC

Practice address

31201 Chicago Rd S
Ste. B-301
Warren, MI 48093-5527

Phone

(586) 558-9112

Fax

(586) 558-9113

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Criselda Cueto De Luna, RN, BSN

Title

President

Phone

(248) 703-1711

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1093198673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S",
            "address_2": "STE. B-301",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935527",
            "telephone_number": "586-558-9112",
            "fax_number": "586-558-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31201 CHICAGO RD S",
            "address_2": "STE. B-301",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935527",
            "telephone_number": "586-558-9112",
            "fax_number": "586-558-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINK THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "DE LUNA",
        "authorized_official_first_name": "CRISELDA",
        "authorized_official_middle_name": "CUETO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-703-1711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "470417987",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamia Ruby Lewis
• Tawanda Dolores Lewis, NURSE (LPN)
• Peter Lewyckyj, R.PH.
• Lifeline Management LLC
• Lifelink Professionals and Therapy Services, LLC
• Lifetime Dental Care of Michigan, P.C.
• Lighthouse Pediatric Therapy
• Lighthouse Pediatric Therapy
• Olivia Lile
• Margarete Liles, CRNA

• Registered Nurse in Warren, MI
• Providers in Warren, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.