Lifeline Respiratory Services LLC

Primary specialty

Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X

Legal business name

LIFELINE RESPIRATORY SERVICES LLC

Practice address

150 Towbridge Rd
Georgetown, SC 29440-6495

Phone

(406) 836-0718

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Nicole Gordon, RRT

Title

Owner

Phone

(406) 836-0718

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Respiratory Services Doing business as

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1194395541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TOWBRIDGE RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406495",
            "telephone_number": "406-836-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TOWBRIDGE RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294406495",
            "telephone_number": "406-836-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE RESPIRATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-836-0718",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Respiratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruvim Leontyev, CRNA
• Dana Lev-Ran, MD
• Jennifer Lynn Lewis, PT, DPT, ATP
• Monica Denise Lewis, FNP
• Montrelle Latwan Lewis, PTA
• Lindsay H Moore, DMD PA
• Michele Lively, APRN
• Pam Amanda Locke, CRNA
• Margaret Elaine Loftin, M.A., LPC
• Ronald J Long, M.D.

• Home Health Certified Respiratory Therapist in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Home Health Certified Respiratory Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.