Life Line Home Care Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

GBU20140244 Issued in GA

Legal business name

LIFE LINE HOME CARE INC

Practice address

6409 Abercorn St
Suite F
Savannah, GA 31405-5715

Phone

(912) 777-6635

Fax

(912) 777-6654

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Ronnie C Daniel, PHARMD

Title

President

Phone

(229) 382-1334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1316355076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MADISON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943756",
            "telephone_number": "912-777-6635",
            "fax_number": "912-777-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 ABERCORN ST",
            "address_2": "SUITE F",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055715",
            "telephone_number": "912-777-6635",
            "fax_number": "912-777-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-382-1334",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "GBU20140244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amiran Ryan Liberty
• Robert Michael Liebman, M.D.
• Joseph P. Liebsack II, PA-C
• Kinhtu Lien, MD
• Life in Perspective, LLC
• Lifespan Rehabilitation and Wellness, LLC
• Lifestyle and Wellness Institute LLC
• Lifestyles Management Resources
• Stephen James Lightfield, PA-C
• Lighthouse Anesthesia LLC

• Durable Medical Equipment & Medical Supplies in Savannah, GA
• Providers in Savannah, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.