Lifesaver Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

368081 Issued in OH

Legal business name

LIFESAVER HEALTH CARE, LLC

Practice address

6119 E Main St
Columbus, OH 43213-3358

Phone

(614) 866-5433

Fax

(614) 866-5456

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Green, RN

Title

Administrator/Director of Nursing

Phone

(614) 866-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368081

Legal name

LIFESAVER HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 13, 2004

Last certification

Jan 31, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 13, 2004 in OH

Enrollment address

5300 E Main St
Ste 102
Columbus, OH 43213-2580

Listed as

Lifesaver Health Care, LLCCCN 368081

Ownership

Proprietary

Certified

Dec 13, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

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

• Jessica Lynn Mandrell, APRN-CNP

  • Acute Care Nurse Practitioner
  • Columbus, OH
  • NPI 1306186184
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1710907704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133358",
            "telephone_number": "614-866-5433",
            "fax_number": "614-866-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133358",
            "telephone_number": "614-866-5433",
            "fax_number": "614-866-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESAVER HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "614-866-5433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "368081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2537311",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.