Lifelink Home Health Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

237506 Issued in MI

Legal business name

LIFELINK HOME HEALTH CARE SERVICES, INC.

Practice address

30600 Northwestern Hwy Ste 210
Farmington Hills, MI 48334-3171

Phone

(248) 702-0890

Fax

(248) 783-6789

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bhavani Krishna Kodey

Title

Ceo

Phone

(313) 515-6789

Specialties & licenses 2

Addresses

Other names 1

• MiCare Home Health Services Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 237506

Legal name

LIFELINK HOME HEALTH CARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 6, 2004

Last certification

Feb 6, 2004

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

30600 Northwestern Hwy
Ste 210
Farmington Hills, MI 48334-3171

Listed as

Lifelink Home Health Care Services, IncCCN 237506

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Feb 6, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Srilaxmi Gandla, PT

  • Physical Therapist
  • Hamtramck, MI
  • NPI 1083967996

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srilaxmi Gandla, PT

  • Physical Therapist
  • Hamtramck, MI
  • NPI 1083967996
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Emilio Limchoa, M.D.

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1649262353

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1922014760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 NORTHWESTERN HWY STE 210",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343171",
            "telephone_number": "248-702-0890",
            "fax_number": "248-783-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 NORTHWESTERN HWY STE 210",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343171",
            "telephone_number": "248-702-0890",
            "fax_number": "248-783-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINK HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "KODEY",
        "authorized_official_first_name": "BHAVANI KRISHNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-515-6789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237506",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiCare Home Health Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life Changing Therapeutic Services, LLC
• Life Renewal Newtwork
• Life Skills Residential, LLC
• Lifecare of Michigan, LLC
• Lifeline Sciences LLC
• Lifesavers Support Services LLC
• Lifestart Counseling, P.L.L.C.
• Lifetime Dental Care of Michigan, P.C.
• Camille Liggins
• Ti Quesha Liggins

• All providers in Farmington Hills, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.