Lifevantage Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFEVANTAGE HOME HEALTH, LLC

Practice address

110 SW Thomas St
Burleson, TX 76028-3818

Phone

(817) 541-4153

NPI assigned

Nov 10, 2014

Last updated

Nov 10, 2014By 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. Gerson Pinote Conserman

Title

Owner

Phone

(817) 541-4153

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1851797427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SW THOMAS ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283818",
            "telephone_number": "817-541-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SW THOMAS ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283818",
            "telephone_number": "817-541-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEVANTAGE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "CONSERMAN",
        "authorized_official_first_name": "GERSON",
        "authorized_official_middle_name": "PINOTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-541-4153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Leon, LAT, BOC
• Julia Marie Leonard, LPC
• Kelly Anne Levasseur, RDN, LD
• Randy Michael Lew, D.P.M.
• Danielle Nicole Lewis
• Skye Lightfoot
• Lighthouse Personal Care Home,LLC
• Theodore J Lilly, M.D.
• Jeffrey C Lin, M.D.
• Ridge Logan

• Home Health Agency in Burleson, TX
• Providers in Burleson, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.