Organization Active NPI

Life Care Home Health Services LLC

  • Home Health Agency
  • Altamonte Springs, FL
National Provider Identifier
1407062490
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20647096 Issued in FL
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20647096OtherFLHHA LICENSE NUMBER
10D0922849OtherFLCLIA WAIVER NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.