Organization Active NPI

Lotus Life Line Training, LLC

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1275270639
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOTUS LIFE LINE TRAINING, LLC
Practice address
1295 NW 99TH St
Miami, FL 33147-1807
Phone
(954) 477-9727
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Candace ClarkNPI 1821448820
Title
Owner
Phone
(954) 418-2036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1295 NW 99TH St
Miami, FL 33147-1807

Mailing address

2114 N Flamingo Rd # 308
Pembroke Pines, FL 33028-3501

National Provider Directory

National Provider Directory

Locations

2114 N Flamingo Rd
Pembroke Pines, FL 33028
Phone (305) 778-6381

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1275270639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N FLAMINGO RD # 308",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 NW 99TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331471807",
            "telephone_number": "954-477-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS LIFE LINE TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-418-2036"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.