Active NPI
Life Healthcare Services, Inc.
- Specialty Pharmacy
- Hialeah, FL
National Provider Identifier
1801209366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PH28159
- Legal business name
- LIFE HEALTHCARE SERVICES, INC.
- Practice address
- 2170 W 73Rd St
Hialeah, FL 33016-1820 - Phone
- (305) 826-5757
- Fax
- (305) 826-5767
- NPI assigned
- Jun 3, 2014
- 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
- Rene Hernandez
- Title
- Ceo
- Phone
- (305) 826-5757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | PH28159 | FL | Primary |
Addresses
Primary practice location
2170 W 73Rd St
Hialeah, FL 33016-1820
Mailing address
2170 W 73Rd St
Hialeah, FL 33016-1820
Phone (305) 826-5757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146076 | Other | PK |
Other names 1
- Life Healthcare Services, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Life Healthcare Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Hialeah, FL
- NPI 1013959600
Locations
2170 W 73rd St
Hialeah, FL 33016
Phone (305) 826-5757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401753600000",
"number": "1801209366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 W 73RD ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161820",
"telephone_number": "305-826-5757",
"fax_number": "305-826-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 W 73RD ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161820",
"telephone_number": "305-826-5757",
"fax_number": "305-826-5767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-826-5757"
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "FL",
"license": "PH28159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146076",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Healthcare Services, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.