Lifeguard Home Care Agency Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFEGUARD HOME CARE AGENCY INC.

Practice address

5341 Frankford Ave
Philadelphia, PA 19124-1217

Phone

(215) 669-1577

Fax

(267) 394-7519

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Miss Cheril E Brito Perez, N/A

Title

Ceo

Phone

(215) 669-1577

Specialties & licenses 1

Addresses

Other names 1

• Lifeguard Home Care Agency Inc. Former legal business name

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1205394707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 M ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245326",
            "telephone_number": "215-669-1577",
            "fax_number": "267-394-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241217",
            "telephone_number": "215-669-1577",
            "fax_number": "267-394-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BRITO PEREZ",
        "authorized_official_first_name": "CHERIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-669-1577",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeguard Home Care Agency Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.