Organization Active NPI

Lifeline Home Care, Inc

  • Personal Care Attendant
  • Centreville, VA
National Provider Identifier
1750588760
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
LIFELINE HOME CARE, INC
Practice address
14701 Lee Hwy
Suite 206
Centreville, VA 20121
Phone
(703) 543-7511
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Ms. Irene Osei, ADMINISTRATOR
Title
Administrator
Phone
(703) 543-7511

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X VA
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X VA Primary
Respite Care 385H00000X VA

Addresses

Primary practice location

14701 Lee Hwy
Suite 206
Centreville, VA 20121

Mailing address

14701 Lee Hwy
Suite 206
Centreville, VA 20121-2133
Phone (703) 543-7511

Other identifiers 1

IdentifierTypeStateIssuer
0103784358MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1750588760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 LEE HWY",
            "address_2": "SUITE 206",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212133",
            "telephone_number": "703-543-7511",
            "fax_number": "703-543-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 LEE HWY",
            "address_2": "SUITE 206",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-543-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "OSEI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-543-7511",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103784358",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.