Life Care Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE CARE HOME HEALTH SERVICES LLC

Practice address

15201 Olive Blvd
Apt 345
Chesterfield, MO 63017

Phone

(561) 806-7027

Fax

(561) 806-7032

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rick W Griffin

Title

President

Phone

(706) 303-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• FV at Home - Home Health, LLC

  • Home Health Agency
  • Chesterfield, MO
  • NPI 1700347275

  Sold to, 2019-04-06

  CMS change of ownership

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1306158217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309030200",
            "telephone_number": "706-303-5500",
            "fax_number": "706-854-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 OLIVE BLVD",
            "address_2": "APT 345",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "561-806-7027",
            "fax_number": "561-806-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-303-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "32693",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayvlin John Talavera Liceralde, MD
• David S Lickerman, MD
• Stephanie Lickerman, APRN, ANP-BC
• Micah J Lieberman, D.C.
• Brandi Liebig, MS,CCC-SLP
• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
• Martin Light
• Mariko Lighthart, OTR
• Roberta Lima, M.D.
• Linda Liu DMD, PC

• Home Health Agency in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.