Active NPI
Lifora Health LLC
- Transportation Broker
- Dallas, TX
National Provider Identifier
1104636471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.