Lifeline Home Health Care of Lakeland, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21960096 Issued in FL

Legal business name

LIFELINE HOME HEALTH CARE OF LAKELAND, LLC

Doing business as

Lifeline Home Health Care of Lakeland

Practice address

5129 S. Lakeland Dr
Suite 3
Lakeland, FL 33813-2599

Phone

(863) 646-7481

Fax

(863) 646-7362

NPI assigned

Sep 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Peter C. November II

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Home Health Care of Lakeland Doing business as

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1912002379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 S. LAKELAND DR",
            "address_2": "SUITE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132599",
            "telephone_number": "863-646-7481",
            "fax_number": "863-646-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOME HEALTH CARE OF LAKELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "NOVEMBER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21960096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Home Health Care of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.