Active NPI
Lifestream Healthcare Alliance LLC
- Home Health Agency
- Worcester, MA
National Provider Identifier
1679844161
On this page
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.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.