Active NPI
Lifeline Home Care, LLC
- Home Health Agency
- Villa Park, IL
National Provider Identifier
1326273012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010999
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010999 | Other | IL | DEPARTMENT OF PUBLIC HEALTH LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.