Organization Active NPI

Lifetouch Home Health

  • Home Health Agency
  • Anaheim, CA
National Provider Identifier
1205581287
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFETOUCH HOME HEALTH
Practice address
780 N Euclid St Ste 204I
Anaheim, CA 92801-4145
Phone
(714) 224-9008
Fax
(714) 333-4475
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Usama Sallam
Title
Ceo
Phone
(714) 224-9008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

780 N Euclid St Ste 204I
Anaheim, CA 92801-4145

Mailing address

780 N Euclid St Ste 204I
Anaheim, CA 92801-4145
Phone (714) 224-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301001398 CA Part A Provider - Home Health Agency 4385026079 Practice locations: Anaheim, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205581287. Details of each certification follow.

Home health agency certification: CCN 758193

Legal name
LIFETOUCH HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 14, 2025
Last certification
Oct 23, 2025
Organization structure
CorporationProprietary
Enrollment address
780 N Euclid St
Ste 204I
Anaheim, CA 92801-4145

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lifetouch Home HealthCCN 758193 · All quality measures
Ownership
-
Certified
Nov 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

780 N Euclid St
Ste 204I
Anaheim, CA 92801
Phone (714) 224-9008

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Usama Sallam Individual 5% Or Greater Direct Ownership Interest Feb 8, 2022 100%
Corporate OfficerCeo, Cfo, Secretary, Director Feb 8, 2022 100%
Corporate DirectorCeo, Cfo, Secretary, Director Feb 8, 2022 100%
W-2 Managing EmployeeCeo, Cfo, Secretary, Director Feb 8, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1205581287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 N EUCLID ST STE 204I",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014145",
            "telephone_number": "714-224-9008",
            "fax_number": "714-333-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N EUCLID ST STE 204I",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014145",
            "telephone_number": "714-224-9008",
            "fax_number": "714-333-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETOUCH HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SALLAM",
        "authorized_official_first_name": "USAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-224-9008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.