Lifespan Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6304435 Issued in PA

Legal business name

LIFESPAN HEALTHCARE LLC

Practice address

4755 Hartel Ave
Philadelphia, PA 19136-3306

Phone

(267) 388-1320

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael James Ortiz

Title

President/Ceo

Phone

(267) 388-1320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1992177257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 HARTEL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363306",
            "telephone_number": "267-388-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 HARTEL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363306",
            "telephone_number": "267-388-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "267-388-1320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "6304435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.