Lifespan Health Service Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

28161533A Issued in IN

Legal business name

LIFESPAN HEALTH SERVICE INC

Practice address

2111 Klondike Rd
West Lafayette, IN 47906-5124

Phone

(765) 274-2168

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Rebel Noble, R.N., B.S.N., D.T.S.

Title

Ceo

Phone

(765) 426-1425

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1740500685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 KLONDIKE RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479065124",
            "telephone_number": "765-274-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 KLONDIKE RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479065124",
            "telephone_number": "765-274-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "REBEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-426-1425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N., B.S.N., D.T.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "28161533A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Jade Lewin
• Oluwa Kemi Adedayo Adeyemi Lewis, PHARMD
• Ksenia Nadia Lewyckyj
• Jiayin Li
• Zhen Li
• Deborah Lightstone, ND
• Lilly Hua Li
• Lauren Link, RD, CSSD
• Yidi Liu, DDS, MSD
• Liza R Simental, PHD HSPP PC

• Home Health Agency in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.