NPIMap

Organization Active NPI

Lifeline Dialysis Center, LLC

  • Dialysis Equipment & Supplies (DME)
  • Ft Lauderdale, FL
National Provider Identifier
1740431089
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
LIFELINE DIALYSIS CENTER, LLC
Practice address
3601 W Commercial Blvd
#35
Ft Lauderdale, FL 33309-3300
Phone
(954) 676-5488
Fax
(954) 676-5560
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Ms. Betty Jean Verbal
Title
Admin./Ceo
Phone
(954) 676-5488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X Primary

Addresses

Primary practice location

3601 W Commercial Blvd
#35
Ft Lauderdale, FL 33309-3300

Mailing address

3601 W Commercial Blvd
#35
Ft Lauderdale, FL 33309-3300
Phone (954) 676-5488

Other identifiers 1

IdentifierTypeStateIssuer
1257170001OtherFLMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1740431089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "#35",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-676-5488",
            "fax_number": "954-676-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "#35",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-676-5488",
            "fax_number": "954-676-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "VERBAL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMIN./CEO",
        "authorized_official_telephone_number": "954-676-5488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "1257170001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.