Active NPI
Lifeline Home Health Services, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1881770899
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFELINE HOME HEALTH SERVICES, LLC
- Practice address
- 4572 Cleveland Ave
Columbus, OH 43231-5853 - Phone
- (703) 855-3503
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Azis M Warsame
- Title
- President
- Phone
- (703) 855-3503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4572 Cleveland Ave
Columbus, OH 43231-5853
Mailing address
4572 Cleveland Ave
Columbus, OH 43231-5853
Phone (703) 855-3503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
4572 Cleveland Ave
Columbus, OH 43231
Phone (703) 855-3503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312243200000",
"number": "1881770899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4572 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432315853",
"telephone_number": "703-855-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4572 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432315853",
"telephone_number": "703-855-3503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2011-08-02",
"status": "A",
"authorized_official_last_name": "WARSAME",
"authorized_official_first_name": "AZIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-855-3503",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.