Life Enhancement Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE ENHANCEMENT HOME CARE LLC

Practice address

121 S Elm St Ste 1-a
Greensboro, NC 27401-2601

Phone

(336) 405-9177

Fax

(844) 785-2715

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Angela Gaskin

Title

Administration

Phone

(336) 907-7462

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1699390195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ELM ST STE 1-A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012601",
            "telephone_number": "336-907-7462",
            "fax_number": "336-763-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ELM ST STE 1-A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012601",
            "telephone_number": "336-405-9177",
            "fax_number": "844-785-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "336-907-7462",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC5526",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.