Lifestyle Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFESTYLE CARE AGENCY LLC

Practice address

200 Barr Harbor Dr Ste 400
Conshohocken, PA 19428-2978

Phone

(610) 572-3565

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Superia Ingalls

Title

Owner / Vice President

Phone

(856) 266-3582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1275142713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BARR HARBOR DR STE 400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282978",
            "telephone_number": "610-572-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BARR HARBOR DR STE 400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282978",
            "telephone_number": "610-572-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "INGALLS",
        "authorized_official_first_name": "SUPERIA",
        "authorized_official_title_or_position": "OWNER / VICE PRESIDENT",
        "authorized_official_telephone_number": "856-266-3582"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Conshohocken, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.