Organization Active NPI

Lifeline,Inc

  • Home Health Agency
  • Milton, MA
National Provider Identifier
1407139652
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFELINE,INC
Practice address
500 Granite Ave #2
Milton, MA 02186-5626
Phone
(240) 481-7288
Fax
(202) 330-5605
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Julius Yerima Bakari, MBA
Title
President
Phone
(240) 481-0448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X ZZ Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

500 Granite Ave #2
Milton, MA 02186-5626

Mailing address

500 Granite Ave FL 2
Milton, MA 02186-5626
Phone (240) 481-7288

Other names 1

  • Lifeline Home Health 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": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1407139652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRANITE AVE FL 2",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865626",
            "telephone_number": "240-481-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRANITE AVE #2",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021865626",
            "telephone_number": "240-481-7288",
            "fax_number": "202-330-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "BAKARI",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "YERIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-481-0448",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ZZ",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.