Life Line Connection LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

LIFE LINE CONNECTION LLC

Practice address

9635 Southern Pine Blvd
Charlotte, NC 28273-5558

Phone

(704) 231-9481

NPI assigned

Jan 24, 2012

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kamesha Denise HarrisNPI 1619685344

Title

Owner

Phone

(704) 231-9481

Specialties & licenses 1

Addresses

Locations

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.

• Kamesha Harris

  • Adult Companion
  • Richmond Hill, GA
  • NPI 1619685344
  Authorized official Same address or phone

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1285905125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 CANDLEWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735558",
            "telephone_number": "704-231-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KAMESHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-231-9481",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Exclusive Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.