NPIMap

Organization Active NPI

Lifeline Homecare Providers

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1841879731
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFELINE HOMECARE PROVIDERS
Doing business as
Lifeline Homecare Providers
Practice address
1301 S Ashland Ave
Chicago, IL 60608-1300
Phone
(312) 238-0308
NPI assigned
Apr 7, 2021
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Mrs. Carmen ColonNPI 1740869726
Title
Cfo
Phone
(773) 851-7031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1301 S Ashland Ave
Chicago, IL 60608-1300

Mailing address

1301 S Ashland Ave
Chicago, IL 60608-1300
Phone (773) 851-7031

Other names 1

  • LIFELINE HOMECARE PROVIDERS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1841879731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081300",
            "telephone_number": "773-851-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081300",
            "telephone_number": "312-238-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOMECARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-851-7031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE HOMECARE PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.