Organization Active NPI

Life Line Investments

Doing business as Life Line Home Health Agency

  • In Home Supportive Care Agency
  • Garland, TX
National Provider Identifier
1376304238
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFE LINE INVESTMENTS
Doing business as
Life Line Home Health Agency
Practice address
4021 Guthrie Rd
Garland, TX 75043-6323
Phone
(469) 274-4054
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Avery Bush
Title
Administrator/Owner
Phone
(469) 274-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4021 Guthrie Rd
Garland, TX 75043-6323

Mailing address

4021 Guthrie Rd
Garland, TX 75043-6323

Other names 1

  • Life Line Home Health Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1376304238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 GUTHRIE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750436323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 GUTHRIE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750436323",
            "telephone_number": "469-274-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "AVERY",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "469-274-4054"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Line Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.