Life Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE HOME CARE INC

Doing business as

Life Home Health Care

Practice address

4601 Pinecrest Office Park Dr Unit H
Alexandria, VA 22312-1442

Phone

(703) 750-0024

Fax

(703) 750-0019

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Yeong Soon Im

Title

President

Phone

(703) 750-0024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Home Health Care Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1346890548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PINECREST OFFICE PARK DR UNIT H",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-750-0024",
            "fax_number": "703-750-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PINECREST OFFICE PARK DR UNIT H",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-750-0024",
            "fax_number": "703-750-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "YEONG",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-750-0024"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "HCO-202176",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yilifehomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Secured Company Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4601 Pinecrest Office Park Dr Unit H",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223121442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Joseph Libretto, LPTA
• Evelyn Lieb
• Stacy Liebovitz, LPC
• Grace Lienemann, AUD
• Kathleen D Liermann, CRNA
• Lifemate Home Healthcare
• Lifespan Psychological Services
• Alexis D Light, MD
• Janel Lighty
• Bonita Lillie, RD

• Home Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.