Organization Active NPI

Lifeline

  • Home Health Agency
  • Hyattsville, MD
National Provider Identifier
1245630417
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in DC
Legal business name
LIFELINE
Practice address
3989 Warner Ave Apt C2
Hyattsville, MD 20784-2051
Phone
(301) 323-5130
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Bintu Dumbuya
Title
HHA
Phone
(301) 323-5130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X DC Primary

Addresses

Primary practice location

3989 Warner Ave Apt C2
Hyattsville, MD 20784-2051

Mailing address

3989 Warner Ave Apt C2
Hyattsville, MD 20784-2051

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1245630417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 WARNER AVE APT C2",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 WARNER AVE APT C2",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842051",
            "telephone_number": "301-323-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "DUMBUYA",
        "authorized_official_first_name": "BINTU",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "301-323-5130"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.