Lifeline Community Support Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFELINE COMMUNITY SUPPORT SERVICES INC

Practice address

8503 Woodland Manor Dr
Laurel, MD 20724-1903

Phone

(301) 613-7493

NPI assigned

Sep 28, 2023

Last updated

Sep 29, 2023By 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

Mrs. Ifeoma Linda OgideNPI 1700148228

Title

Ceo

Phone

(301) 613-7493

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ifeoma Linda Ogide

  • Home Health Aide
  • Washington, DC
  • NPI 1700148228
  NPD Authorized official

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1902685928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 WOODLAND MANOR DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241903",
            "telephone_number": "301-613-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 WOODLAND MANOR DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241903",
            "telephone_number": "301-613-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE COMMUNITY SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "OGIDE",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-613-7493",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.