Life Beacon Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFE BEACON HEALTHCARE LLC

Practice address

320 Linwood St Ste 2a
Dayton, OH 45405-4952

Phone

(614) 202-3506

NPI assigned

Dec 19, 2024

Last updated

Dec 19, 2024By 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

Maslah Dakane Maalim

Title

Ceo

Phone

(614) 202-3506

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871301143. Details of each certification follow.

• CCN 369431 Home health agency · Active · Details

Home health agency certification: CCN 369431

Legal name

LIFE BEACON HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 18, 2026

Last certification

Jan 29, 2026

Organization structure

LLCProprietary

Enrollment address

320 Linwood St
Ste 2a
Dayton, OH 45405-4952
HHA Branch

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1871301143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LINWOOD ST STE 2A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054952",
            "telephone_number": "614-202-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LINWOOD ST STE 2A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054952",
            "telephone_number": "614-202-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BEACON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MAALIM",
        "authorized_official_first_name": "MASLAH",
        "authorized_official_middle_name": "DAKANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-202-3506"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Liebe, MD
• Janel Erin Lieber
• Margaret Liederbach, DO
• Brian Liepold
• Paige Elizabeth Liette, MSW, LIW-S
• Life Changing Family Care, LLC
• Life Changing Family Care, LLC
• Life Essentials, Inc.
• Life Psychology LLC
• Lifesong Counseling LLC

• Home Health Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.