Organization Active NPI

Lifeline Inc Dba Lifeline Home Health

  • Home Health Registered Nurse
  • Washington, DC
National Provider Identifier
1962755991
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
LIFELINE INC DBA LIFELINE HOME HEALTH
Doing business as
lifeline home health
Practice address
6210 N Capitol St NW
Washington, DC 20011-1416
Phone
(202) 722-0404
Fax
(202) 330-5605
NPI assigned
Oct 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Mr. Julius Y Bakari, MBA
Title
President
Phone
(202) 722-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

6210 N Capitol St NW
Washington, DC 20011-1416

Mailing address

353 Heritage Park Trce NW
Kennesaw, GA 30144-4832
Phone (240) 350-7378

Other names 1

  • lifeline home health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1962755991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 HERITAGE PARK TRCE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444832",
            "telephone_number": "240-350-7378",
            "fax_number": "202-330-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 N CAPITOL ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111416",
            "telephone_number": "202-722-0404",
            "fax_number": "202-330-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE INC DBA LIFELINE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "BAKARI",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-722-0404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifeline home health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.