Life Care Home Health Services Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2004N0530 Issued in IL

Legal business name

LIFE CARE HOME HEALTH SERVICES CORPORATION

Practice address

800 NW 17TH Ave
Suite B
Delray Beach, FL 33445-2583

Phone

(561) 272-5866

Fax

(561) 243-3733

NPI assigned

Nov 2, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William C. Pickhardt

Title

Vice President

Phone

(561) 272-5866

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699766394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW 17TH AVE",
            "address_2": "SUITE B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452583",
            "telephone_number": "561-272-5866",
            "fax_number": "561-243-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW 17TH AVE",
            "address_2": "SUITE B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452583",
            "telephone_number": "561-272-5866",
            "fax_number": "561-243-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOME HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKHARDT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-272-5866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "2004N0530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE PERMIT REG",
            "identifier": "1671279",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE AGENCY LICENSE",
            "identifier": "2004N0530",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lice Cleanique, LLC. (South Florida Family Health & Research Centers)
• Lieber Podiatry Associates PA
• Ross I Lieberfarb, MD
• Alan Neal Lieberman, M.D.
• Eric H Lieberman, MD
• Life Care Retirement Communities, Inc. (Abbey Delray)
• Life Care Retirement Communities, Inc. (Abbey Delray)
• Life Quality Home Health Care, Inc (Life Quality Home Medical)
• Life Skills Case Management, LLC
• Lifeedge Medical Supplies LLC

• Home Health Agency in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.