Life Assist Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFE ASSIST HOME CARE LLC

Practice address

205 Cotton View LN
Red Oak, TX 75154-2728

Phone

(469) 337-2150

NPI assigned

Dec 5, 2024

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Derrell Aikens, R.PHNPI 1487250288

Title

Pharmacist/Owner

Phone

(469) 337-2150

Specialties & licenses 1

Addresses

Other names 1

• Life Assist Home Health Care Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Derrell Aikens, RPH

  • Pharmacist
  • Dallas, TX
  • NPI 1487250288
  NPD Authorized official

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1760298715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COTTON VIEW LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542728",
            "telephone_number": "469-337-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COTTON VIEW LN",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542728",
            "telephone_number": "469-337-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ASSIST HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "AIKENS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "DERRELL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "469-337-2150",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Assist Home Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.