Organization Active NPI

Lifetime Home Care LLC

  • Home Health Agency
  • Forest Hills, NY
National Provider Identifier
1164947503
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFETIME HOME CARE LLC
Practice address
11206 68TH Rd
Forest Hills, NY 11375-2940
Phone
(917) 455-8687
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Mr. Iskija R Abramov
Title
Managing Member/ Owner
Phone
(917) 455-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11206 68TH Rd
Forest Hills, NY 11375-2940

Mailing address

11206 68TH Rd
Forest Hills, NY 11375-2940
Phone (917) 455-8687

Other names 1

  • Lifetime Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1164947503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11206 68TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752940",
            "telephone_number": "917-455-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 68TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752940",
            "telephone_number": "917-455-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "ABRAMOV",
        "authorized_official_first_name": "ISKIJA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER/ OWNER",
        "authorized_official_telephone_number": "917-455-8687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.