Active NPI
Lifeline Private Duty Services of Kentucky, LLC
- In Home Supportive Care Agency
- Somerset, KY
National Provider Identifier
1821529694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIFELINE PRIVATE DUTY SERVICES OF KENTUCKY, LLC
- Doing business as
- Lifeline Community-Based Services
- Practice address
- 368 N Highway 27 Ste 1
Somerset, KY 42503-1712 - Phone
- (606) 676-0045
- Fax
- (606) 451-8371
- NPI assigned
- Mar 23, 2017
- 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
- Joshua L. Proffitt
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
368 N Highway 27 Ste 1
Somerset, KY 42503-1712
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names 1
- Lifeline Community-Based Services
National Provider Directory
National Provider DirectoryLocations
368 N Highway 27
Ste 1
Somerset, KY 42503
Phone (606) 676-0045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727827200000",
"number": "1821529694",
"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": "368 N HIGHWAY 27 STE 1",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031712",
"telephone_number": "606-676-0045",
"fax_number": "606-451-8371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE PRIVATE DUTY SERVICES OF KENTUCKY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-23",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-233-1307"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifeline Community-Based Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lifeline Community-Based Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.