Active NPI
Life Essential LLC
- Home Health Agency
- Parkland, FL
National Provider Identifier
1740997329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE ESSENTIAL LLC
- Practice address
- 5851 Holmberg Rd Apt 3122
Parkland, FL 33067-4516 - Phone
- (754) 422-3608
- NPI assigned
- Nov 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roderick D Hollomon Jr., PARAMEDIC
- Title
- Phlebotomist
- Phone
- (954) 907-0920
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Home Delivered Meals | 332U00000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
5851 Holmberg Rd Apt 3122
Parkland, FL 33067-4516
Mailing address
6574 N State Road 7 # 344
Coconut Creek, FL 33073-3625
Phone (754) 422-3608
National Provider Directory
National Provider Directory- Tax ID family
- Life Essential
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667347200000",
"number": "1740997329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6574 N STATE ROAD 7 # 344",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733625",
"telephone_number": "754-422-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5851 HOLMBERG RD APT 3122",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330674516",
"telephone_number": "754-422-3608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ESSENTIAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-10-30",
"status": "A",
"authorized_official_last_name": "HOLLOMON",
"authorized_official_first_name": "RODERICK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHLEBOTOMIST",
"authorized_official_telephone_number": "954-907-0920",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.