Organization Active NPI

Lifora Health LLC

  • Transportation Broker
  • Dallas, TX
National Provider Identifier
1104636471
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
LIFORA HEALTH LLC
Practice address
13100 Noel Rd Apt 308
Dallas, TX 75240-0400
Phone
(813) 538-8190
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Jovan Glasgow
Title
Owner
Phone
(813) 538-8190

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Home Health Agency 251E00000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

13100 Noel Rd Apt 308
Dallas, TX 75240-0400

Mailing address

13100 Noel Rd Apt 308
Dallas, TX 75240-0400
Phone (813) 538-8190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1104636471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 NOEL RD APT 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752400400",
            "telephone_number": "813-538-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 NOEL RD APT 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752400400",
            "telephone_number": "813-538-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFORA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "JOVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-538-8190"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.