Organization Active NPI

Lifetime Healthcare Systems Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1275229304
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFETIME HEALTHCARE SYSTEMS INC
Practice address
1027 S Central Ave Ste 300
Glendale, CA 91204-3973
Phone
(909) 660-2389
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Mario Tawadrous
Title
Owner/Admin
Phone
(909) 660-2389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1027 S Central Ave Ste 300
Glendale, CA 91204-3973

Mailing address

1027 S Central Ave Ste 300
Glendale, CA 91204-3973
Phone (909) 660-2389

National Provider Directory

National Provider Directory

Locations

1027 S Central Ave
Ste 300
Glendale, CA 91204
Phone (818) 324-8168

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1275229304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S CENTRAL AVE STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043973",
            "telephone_number": "909-660-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S CENTRAL AVE STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043973",
            "telephone_number": "909-660-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "TAWADROUS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "909-660-2389"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.