Organization Active NPI

Lifetime Care at Home LLC

  • Home Health Agency
  • Guilford, CT
National Provider Identifier
1205904919
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFETIME CARE AT HOME LLC
Practice address
753 Boston Post Rd
Suite 103
Guilford, CT 06437-2749
Phone
(203) 315-5286
Fax
(203) 458-5997
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mary Gerette Messina
Title
Director, Regulatory Reimbursement
Phone
(203) 688-8543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

753 Boston Post Rd
Suite 103
Guilford, CT 06437-2749

Mailing address

753 Boston Post Rd
Suite 103
Guilford, CT 06437-2749
Phone (203) 315-5286

Other identifiers 1

IdentifierTypeStateIssuer
004144060MedicaidCT

Other names 1

  • VNA Community Healthcare Inc Other name

National Provider Directory

National Provider Directory

Locations

753 Boston Post Rd
Ste 103
Guilford, CT 06437
Phone (203) 315-5286

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1205904919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 BOSTON POST RD",
            "address_2": "SUITE 103",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372749",
            "telephone_number": "203-315-5286",
            "fax_number": "203-458-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 BOSTON POST RD",
            "address_2": "SUITE 103",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372749",
            "telephone_number": "203-315-5286",
            "fax_number": "203-458-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME CARE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MESSINA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GERETTE",
        "authorized_official_title_or_position": "DIRECTOR, REGULATORY REIMBURSEMENT",
        "authorized_official_telephone_number": "203-688-8543"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004144060",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA Community Healthcare Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.