Lifeline Support Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LIFELINE SUPPORT SERVICES LLC

Practice address

16887 North Cornwallis Way
Nampa, ID 83687-8257

Phone

(208) 275-9098

NPI assigned

May 13, 2025

Last updated

Jun 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdikadirs Osman, OWNER

Title

Owner

Phone

(208) 275-9098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1376334011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16887 NORTH CORNWALLIS WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16887 NORTH CORNWALLIS WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878257",
            "telephone_number": "208-275-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "ABDIKADIRS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-275-9098",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.