Life Line Home Care Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

303718793 Issued in GA

Legal business name

LIFE LINE HOME CARE INC

Practice address

100 Lakeshore Dr
Suite a
Saint Marys, GA 31558-3857

Phone

(912) 673-8544

Fax

(912) 673-8554

NPI assigned

Nov 29, 2006

Last updated

Feb 9, 2012By 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. Ronnie C Daniel, PHARMD

Title

President

Phone

(229) 382-1334

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1881761492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MADISON AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943756",
            "telephone_number": "912-673-8544",
            "fax_number": "912-673-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKESHORE DR",
            "address_2": "SUITE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583857",
            "telephone_number": "912-673-8544",
            "fax_number": "912-673-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-382-1334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "303718793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0942290005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos A Levy-Eliceiri, MD PA
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• Roberta Lindau, LCSW
• John-Henry Lipian, AA

• Durable Medical Equipment & Medical Supplies in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.