NPIMap

Organization Active NPI

Life Line Community Healthcare

  • Adult Companion
  • Independence, OH
National Provider Identifier
1184009284
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
AP128594 Issued in TX
Legal business name
LIFE LINE COMMUNITY HEALTHCARE
Practice address
6150 Oak Tree Blvd Ste 200
Independence, OH 44131-2569
Phone
(216) 581-6556
Fax
(800) 470-8713
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Eric Greenberg
Title
VP
Phone
(216) 581-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X AP128594 TX Primary

Addresses

Primary practice location

6150 Oak Tree Blvd Ste 200
Independence, OH 44131-2569

Mailing address

6150 Oak Tree Blvd Ste 200
Independence, OH 44131-2569
Phone (216) 581-6556

National Provider Directory

National Provider Directory

Locations

6150 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (216) 518-1025

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21667/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1184009284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312569",
            "telephone_number": "216-581-6556",
            "fax_number": "800-470-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312569",
            "telephone_number": "216-581-6556",
            "fax_number": "800-470-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE COMMUNITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "216-581-6556"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": "TX",
            "license": "AP128594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.