Life Care Health Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

R3393 Issued in MD

Legal business name

LIFE CARE HEALTH SERVICES LLC

Practice address

2006 Wintergreen Place
Rosedale, MD 21237

Phone

(410) 866-1266

Fax

(410) 866-1266

NPI assigned

Jun 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Francis Adetayo Sobambo

Title

Ceo

Phone

(443) 621-2218

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1235577446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 WINTERGREEN PL",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212371912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 WINTERGREEN PLACE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-866-1266",
            "fax_number": "410-866-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SOBAMBO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "ADETAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-621-2218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.