Lifetime Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

NOT REQUIRED BY MI Issued in MI

Legal business name

LIFETIME HOME CARE, INC.

Practice address

3058 Metropolitan Pkwy
Suite 111
Sterling Heights, MI 48310-3671

Phone

(586) 825-0304

Fax

(586) 825-0306

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carmencita C. Gambalan, RN

Title

VP/ Administrator

Phone

(586) 825-0304

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518987452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PKWY",
            "address_2": "SUITE 111",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103671",
            "telephone_number": "586-825-0304",
            "fax_number": "586-825-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 METROPOLITAN PKWY",
            "address_2": "SUITE 111",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103671",
            "telephone_number": "586-825-0304",
            "fax_number": "586-825-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBALAN",
        "authorized_official_first_name": "CARMENCITA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP/ ADMINISTRATOR",
        "authorized_official_telephone_number": "586-825-0304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "NOT REQUIRED BY MI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.