Lifeline, Inc Dba Lifeline Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05430501 Issued in PA

Legal business name

LIFELINE, INC DBA LIFELINE HOME HEALTH

Practice address

6932 Market St FL 1
Upper Darby, PA 19082-2340

Phone

(240) 481-7288

Fax

(202) 330-5605

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Julius Yerima Bakari, MD

Title

Ceo President

Phone

(240) 481-7288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• lifeline home health Doing business as

Locations

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1740696608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 MARKET ST FL 1",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822340",
            "telephone_number": "240-481-7288",
            "fax_number": "202-330-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 MARKET ST FL 1",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822340",
            "telephone_number": "240-481-7288",
            "fax_number": "202-330-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE, INC DBA LIFELINE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "BAKARI",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "YERIMA",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "240-481-7288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "05430501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "05430501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifeline home health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edith Renee Lawrence, B.S., MA, LPC, NCC
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• Fengzhi Liu
• Bernadette Lloyd-Sobolow, CNM

• Home Health Agency in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.