Lifetides Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9832 Issued in FL

Legal business name

LIFETIDES HOME, INC.

Practice address

3133 Las Olas Dr
Dunedin, FL 34698-2914

Phone

(727) 804-4500

Fax

(727) 943-7505

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sue Dilenge, M.S.W.

Title

Ceo

Phone

(727) 804-4500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629052014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 E LAKE RD",
            "address_2": "SUITE 14, PMB 650",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852400",
            "telephone_number": "727-804-4500",
            "fax_number": "727-943-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 LAS OLAS DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982914",
            "telephone_number": "727-804-4500",
            "fax_number": "727-943-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIDES HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILENGE",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-804-4500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lemond, APRN, FNP-C
• Ryan Patrick Lepore, DMD
• Erica Lestini, PHARMD
• Larry R. Levine, D.O.
• Elizabeth Lena Lewerke, MA
• Lifewell Chiropractic LLC
• Linda P Wexler
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• David Lipps, LMT
• Little Steps Florida LLC

• Assisted Living Facility in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Assisted Living Facility 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.