Organization Active NPI

Life Essential LLC

  • Home Health Agency
  • Parkland, FL
National Provider Identifier
1477260552
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE ESSENTIAL LLC
Practice address
5851 Holmberg Rd Apt 3122
Parkland, FL 33067-4516
Phone
(754) 422-3608
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Altheda Latorrian Smith, MEDICAL ASSISTANT
Title
Manager
Phone
(754) 422-3608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5851 Holmberg Rd Apt 3122
Parkland, FL 33067-4516

Mailing address

6574 N State Road 7 # 344
Coconut Creek, FL 33073-3625
Phone (754) 422-3608

Other names 2

  • Life essential group Doing business as
  • Life essential Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Life Essential2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1477260552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6574 N STATE ROAD 7 # 344",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733625",
            "telephone_number": "754-422-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD APT 3122",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674516",
            "telephone_number": "754-422-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ESSENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALTHEDA",
        "authorized_official_middle_name": "LATORRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "754-422-3608",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life essential group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life essential",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.