Active NPI
Lifeline Home Care, Inc
- Personal Care Attendant
- Centreville, VA
National Provider Identifier
1750588760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | VA | ||
| Personal Care Attendant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103784358 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI 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
- Frederick F Lennon, M.D.
- Let's Smile of Centreville, PLLC
- Alan R Levinstone, M.D.
- Rebecca L. Levy, MED, CCC-A
- Lifeline Home Care
- Sarah B Lim, DDS
- Tammy M Lockett-Benjamin, MD
- Gilda Loga, PA-C
- Loudoun Medical Group, PC (Family Allergy Center)
- Loudoun Medical Group, PC (Northern Virginia ENT Associates-Centerville office)
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.