Life Care Home Health Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE CARE HOME HEALTH SERVICES, LLC.

Practice address

205 W 5TH Ave Ste 205
Escondido, CA 92025-4849

Phone

(760) 975-3493

Fax

(760) 975-3581

NPI assigned

Sep 14, 2020

Organization subpart

No

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

Authorized official

Name

Paz C Rodriguez

Title

Owner

Phone

(760) 975-3493

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757178

Legal name

LIFE CARE HOME HEALTH SERVICES, LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 31, 2022

Last certification

Aug 17, 2022

Organization structure

LLCProprietary

Incorporated

Jul 17, 2020 in CA

Enrollment address

205 W 5TH Ave
Ste 205
Escondido, CA 92025-4849

Listed as

Life Care Home Health Services, LLCCCN 757178

Ownership

-

Certified

Aug 31, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1356956536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 5TH AVE STE 205",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254849",
            "telephone_number": "760-975-3493",
            "fax_number": "760-975-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 5TH AVE STE 205",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254849",
            "telephone_number": "760-975-3493",
            "fax_number": "760-975-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOME HEALTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PAZ",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-975-3493"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "205 W 5th Ave Ste 205",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Licea, RN
• Cyril Licudine
• Elizabeth Ann Liebenberg, P.T.
• Jennifer Lien
• Tamar Lietzow, PHARMD
• Life Care Hospice Services, LLC.
• Kirsten Like, AMFT 129189
• John Lilley, M.D.
• Lim Chiropractic Professional Corporation
• Hoon Lim, D.C.

• Home Health Agency in Escondido, CA
• Providers in Escondido, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.