Organization Active NPI

Lifeline Health Care of South Florida, Inc.

  • Home Health Agency
  • Marathon, FL
National Provider Identifier
1811006638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
21872096 Issued in FL
Legal business name
LIFELINE HEALTH CARE OF SOUTH FLORIDA, INC.
Practice address
13365 Overseas Hwy Ste 104
Marathon, FL 33050-3513
Phone
(305) 743-9817
Fax
(305) 743-9873
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James T. Wilson
Title
Ceo
Phone
(606) 679-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21872096 FL Primary

Addresses

Primary practice location

13365 Overseas Hwy Ste 104
Marathon, FL 33050-3513

Mailing address

600 Clifty St
Somerset, KY 42503-1733
Phone (606) 679-4100

Other names 1

  • Lifeline Home Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811006638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031733",
            "telephone_number": "606-679-4100",
            "fax_number": "606-678-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13365 OVERSEAS HWY STE 104",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503513",
            "telephone_number": "305-743-9817",
            "fax_number": "305-743-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH CARE OF SOUTH FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-679-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21872096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.