Organization Active NPI

Lifeline Home Care, LLC

  • Home Health Agency
  • Villa Park, IL
National Provider Identifier
1326273012
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010999 Issued in IL
Legal business name
LIFELINE HOME CARE, LLC
Practice address
15 E Park Blvd
Ste. 1M
Villa Park, IL 60181-2984
Phone
(630) 359-4666
Fax
(630) 501-0554
NPI assigned
May 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Mr. Alfeo Padilla, RN
Title
Administrator
Phone
(630) 359-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010999 IL Primary

Addresses

Primary practice location

15 E Park Blvd
Ste. 1M
Villa Park, IL 60181-2984

Mailing address

15 E Park Blvd
Ste. 1M
Villa Park, IL 60181-2984
Phone (630) 359-4666

Other identifiers 1

IdentifierTypeStateIssuer
1010999OtherILDEPARTMENT OF PUBLIC HEALTH LICENSE

National Provider Directory

National Provider Directory

Locations

1580 S Milwaukee Ave
Ste 525
Libertyville, IL 60048
Phone (847) 680-3880

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1326273012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E PARK BLVD",
            "address_2": "STE. 1M",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812984",
            "telephone_number": "630-359-4666",
            "fax_number": "630-501-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E PARK BLVD",
            "address_2": "STE. 1M",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812984",
            "telephone_number": "630-359-4666",
            "fax_number": "630-501-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "ALFEO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-359-4666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH LICENSE",
            "identifier": "1010999",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.