LIFELINE INCOPORATION (NPI# 1104295187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104295187 |
| Entity Type | Organization |
| Organization Name | LIFELINE INCOPORATION |
| Practice Address |
6823d Riverdale Rd Apt D1 Riverdale MD 20737-1835 |
| Practice Telephone | 3018987756 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | NICHEU SHIENJI (HHA) |
| Authorized Official Telephone | 3017768456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047409 | Lifeline Incoporation | Custodial Care Facility | 502 Varnum Street, Bladensburg, MD 20710 | 2015-11-02 |
| 1679944094 | Lifeline Incoporation | Custodial Care Facility | 4203 58th Ave, Bladensburg, MD 20710-1911 | 2015-10-12 |
| 1194193615 | Lifeline Incoporation | Custodial Care Facility | 5201 Sheriff Rd Ne, Washington, DC 20019-5583 | 2015-09-14 |
| 1750750733 | Lifeline Incoporation | Custodial Care Facility | 4213 Oglethorpe St Apt 4, Hyattsville, MD 20781-1540 | 2015-09-18 |
| Street Address |
6823D RIVERDALE RD APT D1 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235369513 | Choice Personal Care Home | Custodial Care Facility | 1030 Scott Rd, Riverdale, GA 30296-1558 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496708 | Faye Dockins | Custodial Care Facility | 2409 Roslyn Ave, Baltimore, MD 21216-2208 | 2020-10-29 |
| 1104472224 | Jace Inc. | Custodial Care Facility | 14005 Dunwood Valley Dr, Bowie, MD 20721-1244 | 2019-08-14 |
| 1417518754 | Like Home, Inc. | Custodial Care Facility | 5334 Kerger Rd, Ellicott City, MD 21043-8207 | 2019-06-26 |
| 1578035028 | The House of Hope, Inc. | Custodial Care Facility | 5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 | 2018-12-21 |
| 1043787179 | Anchor Home, Inc | Custodial Care Facility | 5510 Overlook Cir, White Marsh, MD 21162-3414 | 2018-10-26 |
| 1689108714 | Love To Care Hope To Help | Custodial Care Facility | 5116 Brookwood Rd, Baltimore, MD 21225-3012 | 2017-04-15 |
| 1942749577 | Adult Day Health, Inc. | Custodial Care Facility | 4001 Seven Mile Ln, Pikesville, MD 21208-6114 | 2017-02-15 |
| 1033658653 | Adult Day Health, Inc. | Custodial Care Facility | 9135 Guilford Rd Ste 100, Columbia, MD 21046-2579 | 2017-02-15 |
| 1578913133 | Pioneers Home Care and Services LLC | Custodial Care Facility | 13937 Highstream Pl, Germantown, MD 20874-6164 | 2016-06-15 |
| 1184098550 | Saint Beckett Home | Custodial Care Facility | 7909 Mandan Rd, Apt 104, Greenbelt, MD 20770-2813 | 2015-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIFELINE INCOPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.