Life Eldercare, Inc.

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

LIFE ELDERCARE, INC.

Doing business as

LIFE ElderCare

Practice address

39055 Hastings St Ste 208
Fremont, CA 94538-1598

Phone

(510) 894-0370

NPI assigned

Aug 27, 2021

Last updated

Mar 21, 2022By 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

Ms. Patricia Osage, EDNPI 1770930554

Title

Executive Director

Phone

(510) 314-6365

Specialties & licenses 7

Addresses

Other names 1

• LIFE ElderCare Doing business as

Electronic endpoints 1

Locations

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.

• Patricia Osage

  • Community Health Worker
  • Fremont, CA
  • NPI 1770930554
  NPD Authorized official

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1811664683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST STE 208",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381598",
            "telephone_number": "510-894-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST STE 208",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381598",
            "telephone_number": "510-894-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ELDERCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "OSAGE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-314-6365",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lifeeldercare.org",
            "affiliation": "N",
            "address_1": "39055 Hastings St Ste 208",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LIFE ElderCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIFE ElderCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Delivered Meals in Fremont, CA
• Providers in Fremont, CA by specialty
• Home Delivered Meals in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.