Life Home Health Care Inc. of Southern Illinois

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011463 Issued in IL

Legal business name

LIFE HOME HEALTH CARE INC. OF SOUTHERN ILLINOIS

Practice address

4503 W Deyoung St. Suite 203C
Marion, IL 62959

Phone

(618) 751-4779

NPI assigned

Sep 19, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Chrystal Bernadette Buenaflor

Title

President

Phone

(618) 751-4779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1417239237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 W. DEYOUNG ST. SUITE 203C MAILBOX # 4",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-751-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 W DEYOUNG ST. SUITE 203C",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-751-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOME HEALTH CARE INC. OF SOUTHERN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "BUENAFLOR",
        "authorized_official_first_name": "CHRYSTAL BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-751-4779",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LHCG Xxxvii, LLC
• Mary Jean Remedio Li, PAC
• Liberty Enterprises Inc.
• Christine Katherine Licina, PHARMD
• Crystal Liedtke, LCSW
• Life Line Emergency Medical Response Service Corp
• Joseph Lingle, RPH
• Lucille Grace Lingle, RN
• Meth Linwong, M.D.
• Jay I Lipoff, MD

• Home Health Agency in Marion, IL
• Providers in Marion, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.