Classic Life Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLASSIC LIFE HOME HEALTH CARE LLC

Practice address

18601 LBJ Fwy Ste 422
Mesquite, TX 75150-5600

Phone

(214) 336-1885

Fax

(972) 803-3200

NPI assigned

Mar 8, 2013

Last updated

Nov 13, 2024By 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

Oloruntosin Kazeem

Title

Owner/Ceo

Phone

(214) 336-1885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1326389719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LBJ FWY STE 422",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505600",
            "telephone_number": "214-336-1885",
            "fax_number": "972-803-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LBJ FWY STE 422",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505600",
            "telephone_number": "214-336-1885",
            "fax_number": "972-803-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC LIFE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "KAZEEM",
        "authorized_official_first_name": "OLORUNTOSIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "214-336-1885"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.