Organization Active NPI

Lifeline Incoporation

  • Adult Care Home Facility
  • Riverdale, MD
National Provider Identifier
1104295187
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LIFELINE INCOPORATION
Practice address
6823D Riverdale Rd Apt D1
Riverdale, MD 20737-1835
Phone
(301) 898-7756
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Nicheu Shienji
Title
HHA
Phone
(301) 776-8456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6823D Riverdale Rd Apt D1
Riverdale, MD 20737-1835

Mailing address

6823D Riverdale Rd Apt D1
Riverdale, MD 20737-1835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1104295187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823D RIVERDALE RD APT D1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823D RIVERDALE RD APT D1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371835",
            "telephone_number": "301-898-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE INCOPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "SHIENJI",
        "authorized_official_first_name": "NICHEU",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "301-776-8456"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.