Life Span Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE SPAN HOME HEALTH, LLC

Practice address

11325 Pegasus St Ste S142
Dallas, TX 75238-5239

Phone

(214) 342-3000

NPI assigned

Apr 22, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Deetra Mitchelle Nelson

Title

Administrator

Phone

(214) 342-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1245474246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 PEGASUS ST STE S142",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385239",
            "telephone_number": "214-342-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 PEGASUS ST STE S142",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385239",
            "telephone_number": "214-342-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SPAN HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DEETRA",
        "authorized_official_middle_name": "MITCHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-342-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROGRAMS WAIVER",
            "identifier": "9059",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Line Supply Co
• Life Living Home Health Agency, LLC
• Life Point Healthcare Services of Texas
• Life Solutions Counseling and Family Therapy PLLC
• Life Solutions South Texas
• Life Span Medicine PA
• Life Support DME and Medical Supplies
• Lifecare Hospitals of North Texas LP
• Lifecare Pharmacy of Dallas LLC
• Lifecenter Skills for Development

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.