Active NPI
Lifebridge Health Care Services, L.L.C
- In Home Supportive Care Agency
- Takoma Park, MD
National Provider Identifier
1669886909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 400314001477
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abrehet Meles Girmay
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400314001477 | Other | DC | BASIC BUSINESS LICENSE |
| 400314001477 | Medicaid | DC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chore Provider
- Takoma Park, MD
- NPI 1205240546
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.