NPIMap

Organization Active NPI

Lifetime Solutions Agency, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1578046215
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFETIME SOLUTIONS AGENCY, LLC
Practice address
5757 Waterford District Dr
Miami, FL 33126-2058
Phone
(954) 613-7683
Fax
(954) 613-7693
NPI assigned
Sep 10, 2018
Last updated
May 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Authorized official

Name
Diana Maria Rodriguez Blandino, CBHCMSNPI 1730732876
Title
President and Executive Director
Phone
(786) 353-2616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5757 Waterford District Dr
Miami, FL 33126-2058

Mailing address

5757 Waterford District Dr Ste 172
Miami, FL 33126-2076
Phone (786) 353-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414002319 FL Part B Supplier - Clinic/Group Practice 7911315866 Receives reassigned benefits from 8 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Solutions Agency LLC2 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.

Locations

801 S Federal Hwy
Ste 835
Dania Beach, FL 33004
Phone (954) 613-7683

5757 Waterford District Dr
Miami, FL 33126
Phone (305) 860-7797

5757 Waterford District Dr
Ste 172
Miami, FL 33126
Phone (786) 353-2616

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716076800000",
    "number": "1578046215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WATERFORD DISTRICT DR STE 172",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262076",
            "telephone_number": "786-353-2616",
            "fax_number": "786-524-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WATERFORD DISTRICT DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262058",
            "telephone_number": "954-613-7683",
            "fax_number": "954-613-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME SOLUTIONS AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ BLANDINO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "786-353-2616",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.