Active NPI
Lifeline, Inc
- Home Health Agency
- Washington, DC
National Provider Identifier
1407430143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFELINE, INC
- Practice address
- 1615 Kenilworth Ave NE
Washington, DC 20019-2010 - Phone
- (202) 588-8036
- Fax
- (202) 588-8038
- NPI assigned
- May 10, 2021
- Organization subpart
- Yes
- Parent organization
- LIFELINE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhoda Makinde
- Title
- Director
- Phone
- (202) 588-8036
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1615 Kenilworth Ave NE
Washington, DC 20019-2010
Mailing address
1615 Kenilworth Ave NE
Washington, DC 20019-2010
Phone (240) 386-7621
Other practice location 1
5632 Annapolis Rd Ste 6
Bladensburg, MD 20710-2213
Phone (301) 927-7580
Other names 1
- LIFELINE, INC
National Provider Directory
National Provider Directory- Tax ID family
- Lifeline Inc
- Part of
- Lifeline Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Bladensburg, MD
- NPI 1700061314
Locations
5632 Annapolis Rd
Ste 6
Bladensburg, MD 20710
Phone (301) 927-7580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620604800000",
"number": "1407430143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 KENILWORTH AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192010",
"telephone_number": "240-386-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 KENILWORTH AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192010",
"telephone_number": "202-588-8036",
"fax_number": "202-588-8038"
}
],
"practiceLocations": [
{
"address_1": "5632 Annapolis Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Bladensburg",
"state": "MD",
"postal_code": "207102213",
"country_code": "US",
"telephone_number": "301-927-7580",
"fax_number": "301-927-7583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIFELINE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFELINE, INC",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-04-13",
"status": "A",
"authorized_official_last_name": "MAKINDE",
"authorized_official_first_name": "RHODA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "202-588-8036"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFELINE, INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.