Organization Active NPI

Lifestream Healthcare Alliance LLC

  • Home Health Agency
  • Worcester, MA
National Provider Identifier
1679844161
Registry record updated Mar 7, 2016
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective May 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFESTREAM HEALTHCARE ALLIANCE LLC
Practice address
37 Highland St
Worcester, MA 01609-2703
Phone
(508) 764-8800
NPI assigned
Jan 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Mrs. Hellen Kiago
Title
Ceo
Phone
(508) 885-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

37 Highland St
Worcester, MA 01609-2703

Mailing address

37 Highland St
Worcester, MA 01609-2703
Phone (508) 764-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

50 Elm St
#B
Southbridge, MA 01550
Phone (508) 885-9109

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1679844161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HIGHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092703",
            "telephone_number": "508-764-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HIGHLAND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092703",
            "telephone_number": "508-764-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM HEALTHCARE ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "KIAGO",
        "authorized_official_first_name": "HELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-885-9109",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.