Lifeline Home Health Care of Lady Lake, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299991009 Issued in FL

Legal business name

LIFELINE HOME HEALTH CARE OF LADY LAKE, LLC

Practice address

1501 N US Highway 441
Suite 1108
Lady Lake, FL 32159-8999

Phone

(352) 753-4631

Fax

(352) 753-8374

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald D. Stelly

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Munroe Regional HomeCare at Lady Lake Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Munroe Regional Homecare, LLC

  • Home Health Agency
  • Ocala, FL
  • NPI 1316072887

  Member Of

  NPD member

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1730284191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441",
            "address_2": "SUITE 1108",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598999",
            "telephone_number": "352-753-4631",
            "fax_number": "352-753-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOME HEALTH CARE OF LADY LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299991009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munroe Regional HomeCare at Lady Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kevin J Lopez, DMD
• Rebecca Lopez, MD

• Home Health Agency in Lady Lake, FL
• Providers in Lady Lake, 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 Mar 20, 2013; 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.