NPIMap

Organization Active NPI

Lifestages Physician Services LLC

  • In Home Supportive Care Agency
  • South Portland, ME
National Provider Identifier
1346772738
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFESTAGES PHYSICIAN SERVICES LLC
Practice address
50 Foden Rd
South Portland, ME 04106-1718
Phone
(800) 757-3326
Fax
(207) 772-0698
NPI assigned
Apr 3, 2017
Last updated
Apr 3, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
VNA HOME HEALTH & HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Colleen F Hilton
Title
Ceo
Phone
(800) 757-3326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

50 Foden Rd
South Portland, ME 04106-1718

Mailing address

50 Foden Rd
South Portland, ME 04106-1718
Phone (800) 757-3326

National Provider Directory

National Provider Directory
Part of
Vna Home Health Hospice

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1346772738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FODEN RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061718",
            "telephone_number": "800-757-3326",
            "fax_number": "207-772-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FODEN RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061718",
            "telephone_number": "800-757-3326",
            "fax_number": "207-772-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAGES PHYSICIAN SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VNA HOME HEALTH & HOSPICE",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-757-3326"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.