Lifeline Home Health Care of Port Charlotte, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20649096 Issued in FL

Legal business name

LIFELINE HOME HEALTH CARE OF PORT CHARLOTTE, LLC

Doing business as

Lifeline Health Care of Port Charlotte

Practice address

1931 Tamiami Trail
Suite 7
Port Charlotte, FL 33948-2160

Phone

(941) 766-9544

Fax

(941) 766-9744

NPI assigned

Sep 13, 2006

Last updated

Apr 28, 2010By 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

Mr. Peter C. November II

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Health Care of Port Charlotte Doing business as

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1821193285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 TAMIAMI TRAIL",
            "address_2": "SUITE 7",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482160",
            "telephone_number": "941-766-9544",
            "fax_number": "941-766-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOME HEALTH CARE OF PORT CHARLOTTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "NOVEMBER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "20649096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Health Care of Port Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Gang Li, M.D.
• Lian Jen DO PA
• Amy R Lieb, PTA
• Life Transitions Inc
• Lifeline Health Care of Southwest Florida, Inc. (Lifeline Home Health Care)
• Lifestyle Hearing Aid Center, LC
• Lifeworks Substance Abuse Services LLC
• Cameron Maria Light, LM CPM
• Lighthouse Addiction Services
• Kevin Douglas Lille, PAC

• Home Health Agency in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.