Active NPI
Lifetime Home Care LLC
- Home Health Agency
- Forest Hills, NY
National Provider Identifier
1164947503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.