Lifeline Partners, Inc

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

Legal business name

LIFELINE PARTNERS, INC

Practice address

397 Churchill Hubbard Rd
Suite 2
Youngstown, OH 44505-1375

Phone

(330) 759-9233

Fax

(330) 759-9677

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Burgdorf

Title

Ceo

Phone

(330) 759-9233

Specialties & licenses 1

Addresses

Other names 1

• LLP Youngstown Sleep Lab Other name

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1609023969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444200119",
            "telephone_number": "330-759-9233",
            "fax_number": "330-759-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 CHURCHILL HUBBARD RD",
            "address_2": "SUITE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051375",
            "telephone_number": "330-759-9233",
            "fax_number": "330-759-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BURGDORF",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-759-9233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLP Youngstown Sleep Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sleep Specialist (PhD) in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Sleep Specialist (PhD) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.