Active NPI
Life-Line Home Health, Inc.
- Home Health Agency
- Dearborn, MI
National Provider Identifier
1356425920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 237505
- Legal business name
- LIFE-LINE HOME HEALTH, INC.
- Practice address
- 4700 Greenfield Rd
Dearborn, MI 48126-4124 - Phone
- (313) 581-7200
- Fax
- (313) 581-7229
- NPI assigned
- Oct 24, 2006
- 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. Faisal Riaz Ahmad
- Title
- Administrator
- Phone
- (313) 581-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 237505 | MI | Primary |
Addresses
Primary practice location
4700 Greenfield Rd
Dearborn, MI 48126-4124
Mailing address
4700 Greenfield Rd
Dearborn, MI 48126-4124
Phone (313) 581-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCO 386123 | Other | MI | JCAHO PROVIDER NUMBER |
| 4739413 | Medicaid | MI |
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Life Line Home Health
- Ownership
- Proprietary
- Certified
- Feb 11, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
18481 W 10 Mile Rd
Ste 1
Southfield, MI 48075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356425920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 GREENFIELD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264124",
"telephone_number": "313-581-7200",
"fax_number": "313-581-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 GREENFIELD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264124",
"telephone_number": "313-581-7200",
"fax_number": "313-581-7229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE-LINE HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "FAISAL",
"authorized_official_middle_name": "RIAZ",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "313-581-7200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "237505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JCAHO PROVIDER NUMBER",
"identifier": "HCO 386123",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4739413",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.