Life Star Healthcare Services LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LIFE STAR HEALTHCARE SERVICES LLC

Practice address

9104 104TH St SW
Lakewood, WA 98498-3824

Phone

(253) 224-0125

Fax

(253) 212-9522

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Melvin Waruinge, LPN

Title

Ceo

Phone

(253) 224-0125

Specialties & licenses 1

Addresses

Other names 1

• Life Star AFH Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1184455966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 104TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983824",
            "telephone_number": "253-224-0125",
            "fax_number": "253-212-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 104TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983824",
            "telephone_number": "253-224-0125",
            "fax_number": "253-212-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAR HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "WARUINGE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-224-0125",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Star AFH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lin Li, R.PH
• Minyu Lian
• Anita Liang
• Jiangzhenjun Liao
• Life Fulfilled Adult Home Care
• Lifegrowth Resources
• Shelley Patricia Lileks
• Angela Rose Lillico
• Regina Y Lim-Yu
• Emma Lim

• Custodial Care Facility in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Custodial Care Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.