Lifeline Health Care of North Florida, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFELINE HEALTH CARE OF NORTH FLORIDA, INC.

Practice address

1501 US Hwy 441 North
Suite 1108
The Villages, FL 32159

Phone

(352) 753-4631

Fax

(352) 753-7580

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James T. Wilson

Title

Ceo

Phone

(606) 679-4100

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Home Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619079019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031733",
            "telephone_number": "606-679-4100",
            "fax_number": "606-678-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 US HWY 441 NORTH",
            "address_2": "SUITE 1108",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-753-4631",
            "fax_number": "352-753-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH CARE OF NORTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-679-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edmund Geoffrey Lewis, M.D.
• Amelia Miulen Ley, M.D.
• Brian Francis Liebersbach, MD PHD
• Harrison Marshall Lief, MD
• Life Family Practice Center
• Debra Lightle, PHARM. D.
• Maria Lipari, PA
• Ignacio Liunoras
• Lisa M. Livecchi, APRN
• Kathryn Livesay, AUD

• Home Health Agency in The Villages, FL
• Providers in The Villages, FL by specialty
• Home Health Agency in Florida

• 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.
• 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.