Active NPI
Lifeline Healthcare Staffing, LLC
- Home Health Agency
- Austin, TX
National Provider Identifier
1972297174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFELINE HEALTHCARE STAFFING, LLC
- Practice address
- 5900 Balcones Dr Ste 8177
Austin, TX 78731-4257 - Phone
- (512) 600-3388
- Fax
- (979) 201-4888
- NPI assigned
- Jun 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tatianna Canady
- Title
- President/Ceo
- Phone
- (512) 202-6325
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Certified Respiratory Therapist | 2278H0200X | |||
| Home Health Registered Respiratory Therapist | 2279H0200X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Health Clinical Nurse Specialist | 364SH0200X | |||
| Home Health Aide | 374U00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
5900 Balcones Dr Ste 8177
Austin, TX 78731-4257
Mailing address
1706 Todds LN # 301
Hampton, VA 23666-3123
National Provider Directory
National Provider DirectoryLocations
5900 Balcones Dr
Ste 8177
Austin, TX 78731
Phone (512) 600-3388
1706 Todds Ln
Hampton, VA 23666
Phone (757) 715-5263
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetics Case Management
- Pearland, TX
- NPI 1073173696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1972297174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 TODDS LN # 301",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236663123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 8177",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "512-600-3388",
"fax_number": "979-201-4888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE HEALTHCARE STAFFING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "CANADY",
"authorized_official_first_name": "TATIANNA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "512-202-6325"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2278H0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2279H0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.