Organization Active NPI

Lifeline Medical Staffing

  • Home Health Agency
  • Salem, NH
National Provider Identifier
1548407059
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03468 Issued in NH
Legal business name
LIFELINE MEDICAL STAFFING
Practice address
224 Main St
Suite 3C
Salem, NH 03079-3188
Phone
(603) 386-2305
Fax
(603) 898-0726
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mr. Mark David Gazda
Title
Managing Partner
Phone
(603) 386-2305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 03468 NH Primary

Addresses

Primary practice location

224 Main St
Suite 3C
Salem, NH 03079-3188

Mailing address

224 Main St
Suite 3C
Salem, NH 03079-3188
Phone (603) 386-2305

National Provider Directory

National Provider Directory

Locations

224 Main St
Ste 3C
Salem, NH 03079
Phone (603) 386-2305

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1548407059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MAIN ST",
            "address_2": "SUITE 3C",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793188",
            "telephone_number": "603-386-2305",
            "fax_number": "603-898-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MAIN ST",
            "address_2": "SUITE 3C",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793188",
            "telephone_number": "603-386-2305",
            "fax_number": "603-898-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "GAZDA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "603-386-2305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "03468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.