Active NPI
Life Care Home Health Services LLC
- Home Health Agency
- Altamonte Springs, FL
National Provider Identifier
1407062490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 20647096
- Legal business name
- LIFE CARE HOME HEALTH SERVICES LLC
- Practice address
- 445 Douglas Ave Ste 1005
Altamonte Springs, FL 32714-2516 - Phone
- (407) 682-3240
- Fax
- (407) 682-3763
- NPI assigned
- May 15, 2007
- Last updated
- Jul 20, 2010
- 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
- James W Eyer
- Title
- Senior Director
- Phone
- (561) 272-5866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 20647096 | FL | Primary |
Addresses
Primary practice location
445 Douglas Ave Ste 1005
Altamonte Springs, FL 32714-2516
Mailing address
445 Douglas Ave Ste 1005
Altamonte Springs, FL 32714-2516
Phone (407) 682-3240
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20647096 | Other | FL | HHA LICENSE NUMBER |
| 10D0922849 | Other | FL | CLIA WAIVER NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1407062490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 DOUGLAS AVE STE 1005",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142516",
"telephone_number": "407-682-3240",
"fax_number": "407-682-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 DOUGLAS AVE STE 1005",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142516",
"telephone_number": "407-682-3240",
"fax_number": "407-682-3763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CARE HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "EYER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "SENIOR DIRECTOR",
"authorized_official_telephone_number": "561-272-5866"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "20647096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HHA LICENSE NUMBER",
"identifier": "20647096",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVER NUMBER",
"identifier": "10D0922849",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.