Lifeline, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFELINE, INC

Practice address

5632 Annapolis Rd Ste 9
Bladensburg, MD 20710-2213

Phone

(301) 927-7580

Fax

(301) 927-7583

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rhoda Makinde

Title

Manager

Phone

(301) 927-7580

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Home health agency certification: CCN 097077

Legal name

LIFELINE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 23, 2018

Last certification

Mar 12, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 7, 2003 in DC

Enrollment address

1615 Kenilworth Ave NE
Washington, DC 20019-2010

Listed as

Lifeline IncCCN 097077

Ownership

Proprietary

Certified

Apr 23, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Lifeline Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeline, Inc

  • Home Health Agency
  • Washington, DC
  • NPI 1407430143
  NPD tax ID

Locations

All disclosed owners & managing parties 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olamide Olaide Adedeji

  • Home Health Aide
  • Bladensburg, MD
  • NPI 1336811835
  NPD (past)
• Olugbenga Samuel Ojo

  • Home Health Aide
  • Bladensburg, MD
  • NPI 1750045050
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1700061314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "202-588-8036",
            "fax_number": "202-588-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD STE 9",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "301-927-7580",
            "fax_number": "301-927-7583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Kenilworth Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200192010",
            "country_code": "US",
            "telephone_number": "202-588-8036",
            "fax_number": "202-588-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFELINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "MAKINDE",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-927-7580",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098040892",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012805035",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036436500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayomide Konwea, HHA
• Esther Oluwaseyi Kujore, HHA
• Anne Lekunga
• Lifeline Incoporation
• Lifeline Incoporation
• Elisabeth Longtchi
• Winkler Boma Lum-Azah, HHA
• Lilian Malukeh
• Valery A Mangoh
• Dauda Alimamy Mansaray

• Home Health Agency in Bladensburg, MD
• Providers in Bladensburg, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.