NPIMap

Organization Active NPI

Life Home, LLC

  • In Home Supportive Care Agency
  • Mansfield, LA
National Provider Identifier
1851755987
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
10567 Issued in LA
Legal business name
LIFE HOME, LLC
Practice address
515A Washington Ave
Mansfield, LA 71052-3105
Phone
(337) 871-8112
Fax
(337) 871-9013
NPI assigned
Apr 5, 2016
Organization subpart
Yes
Parent organization
LIFE @ HOME, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Mrs. Daisy Holmes, RN
Title
Managing Member
Phone
(337) 463-3595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 10567 LA Primary

Addresses

Primary practice location

515A Washington Ave
Mansfield, LA 71052-3105

Mailing address

515A Washington Ave
Mansfield, LA 71052-3105
Phone (337) 871-8112

Other names 1

  • Life @ Home, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Life Home LLC16 organizations share this tax ID, including this one
Part of
Life Home LLC

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1851755987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515A WASHINGTON AVE",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710523105",
            "telephone_number": "337-871-8112",
            "fax_number": "337-871-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515A WASHINGTON AVE",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710523105",
            "telephone_number": "337-871-8112",
            "fax_number": "337-871-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE @ HOME, LLC",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-463-3595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "10567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life @ Home, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.