Lifeline Adult Day Care Center LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LIFELINE ADULT DAY CARE CENTER LLC

Doing business as

Lifeline Adult Day Care Center LLC

Practice address

2512 7TH Ave S Ste F1
Fargo, ND 58103-8747

Phone

(701) 541-4647

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 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

Khadra JamaNPI 1538940234

Title

Ceo

Phone

(701) 541-4647

Specialties & licenses 1

Addresses

Other names 1

• LIFELINE ADULT DAY CARE CENTER LLC Doing business as

Locations

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.

• Khadra Jama

  • Homemaker
  • Fargo, ND
  • NPI 1538940234
  NPD Authorized official

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1942086442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 7TH AVE S STE F1",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038747",
            "telephone_number": "701-541-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 7TH AVE S STE F1",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038747",
            "telephone_number": "701-541-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "KHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-541-4647"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFELINE ADULT DAY CARE CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lighthouse Church of Fargo

• Developmentally Disabled Services Day Training Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• Developmentally Disabled Services Day Training Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.