Lifeline Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFELINE INC

Practice address

11 Salem St Ste 15
Medford, MA 02155-3262

Phone

(240) 386-7621

NPI assigned

Jul 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rhoda Eloho Odivbri

Title

Program Co-Ordinator

Phone

(240) 386-7621

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356629174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SALEM ST STE 15",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553262",
            "telephone_number": "240-386-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALEM ST STE 15",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553262",
            "telephone_number": "240-386-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ODIVBRI",
        "authorized_official_first_name": "RHODA",
        "authorized_official_middle_name": "ELOHO",
        "authorized_official_title_or_position": "PROGRAM CO-ORDINATOR",
        "authorized_official_telephone_number": "240-386-7621",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Medford, MA
• Providers in Medford, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.