Organization Active NPI

Lifebridge Health Care Services, L.L.C

  • In Home Supportive Care Agency
  • Takoma Park, MD
National Provider Identifier
1669886909
Registry record updated Jun 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
400314001477 Issued in DC
Legal business name
LIFEBRIDGE HEALTH CARE SERVICES, L.L.C
Practice address
6731 New Hampshire Ave Apt 507
Takoma Park, MD 20912-2803
Phone
(301) 332-1037
NPI assigned
Jun 15, 2014
Last updated
Jun 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2014

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

Authorized official

Name
Abrehet Meles GirmayNPI 1205240546
Title
Director
Phone
(202) 650-1578

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 400314001477 DC Primary

Addresses

Primary practice location

6731 New Hampshire Ave Apt 507
Takoma Park, MD 20912-2803

Mailing address

6731 New Hampshire Ave Apt 507
Takoma Park, MD 20912-2803
Phone (301) 332-1037

Other identifiers 2

IdentifierTypeStateIssuer
400314001477OtherDCBASIC BUSINESS LICENSE
400314001477MedicaidDC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402790400000",
    "number": "1669886909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 NEW HAMPSHIRE AVE APT 507",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122803",
            "telephone_number": "301-332-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 NEW HAMPSHIRE AVE APT 507",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122803",
            "telephone_number": "301-332-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE HEALTH CARE SERVICES, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-06-15",
        "status": "A",
        "authorized_official_last_name": "GIRMAY",
        "authorized_official_first_name": "ABREHET",
        "authorized_official_middle_name": "MELES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-650-1578"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "400314001477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC BUSINESS LICENSE",
            "identifier": "400314001477",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400314001477",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; 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.