Lifetime Health Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

067R0355 Issued in GA

Legal business name

LIFETIME HEALTH CARE SERVICES, LLC

Practice address

40 Auburn Park Dr Ste G
Auburn, GA 30011-3644

Phone

(678) 985-0456

Fax

(678) 985-0457

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Victoria A Ayeni

Title

Administrator

Phone

(678) 985-0456

Specialties & licenses 1

Addresses

Other names 1

• lifetime Health Care services Former legal business name

Locations

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669981775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AUBURN PARK DRIVE SUITE G",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300113644",
            "telephone_number": "678-985-0456",
            "fax_number": "678-985-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AUBURN PARK DR STE G",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300113644",
            "telephone_number": "678-985-0456",
            "fax_number": "678-985-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-985-0456"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067R0355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifetime Health Care services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Auburn, GA
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.