Organization Active NPI

Life Healthcare Services, Inc.

  • Specialty Pharmacy
  • Hialeah, FL
National Provider Identifier
1801209366
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH28159 Issued in FL
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

Updated by the provider on Jun 3, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2146076OtherPK

Other names 1

  • Life Healthcare Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.