Active NPI
Lifetime Care at Home LLC
- Home Health Agency
- Guilford, CT
National Provider Identifier
1205904919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004144060 | Medicaid | CT |
Other names 1
- VNA Community Healthcare Inc
National Provider Directory
National Provider DirectoryLocations
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.