Life Stream Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE STREAM HEALTH SERVICES, LLC

Practice address

297 N Bend Dr
Pataskala, OH 43062-7552

Phone

(614) 282-1895

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Panganayi Mavunga

Title

Owner/Director

Phone

(614) 282-1895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1346863230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 N BEND DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627552",
            "telephone_number": "614-282-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 N BEND DR",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430627552",
            "telephone_number": "614-282-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STREAM HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "MAVUNGA",
        "authorized_official_first_name": "PANGANAYI",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "614-282-1895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.