LIFELINE HOME HEALTH CARE OF BOWLING GREEN, LLC (NPI# 1205860087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205860087 |
| Entity Type | Organization |
| Organization Name | LIFELINE HOME HEALTH CARE OF BOWLING GREEN, LLC |
| Other Organization Name | LIFELINE HEALTH CARE OF WARREN |
| Practice Address |
165 Natchez Trace Avenue Suite 206 Bowling Green KY 42103-7947 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 2707810702 |
| Practice Fax Number | 2707818489 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | DONALD D. STELLY (PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 253Z00000X | In Home Supportive Care | 150077 | KY | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 45004447 | 05 | |
| KY | ANTHEM BLUE CROSS BLUE SH | 000000503487 | 01 |
| KY | 42000190 | 05 | |
| KY | 41000100 | 05 | |
| KY | 7100000480 | 05 |
| Other Name | Type Code |
|---|---|
| Lifeline Health Care of Warren | Doing Business As Name - Organization |
| Street Address |
165 NATCHEZ TRACE AVENUE SUITE 206 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-7947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184049009 | Housecall Np, LLC | Home Health | 17847 Range Line Rd, Bowling Green, OH 43402-8957 | 2014-03-01 |
| 1770887127 | Gentry Inc. | Home Health | 955 Fields Dr, Suite 104, Bowling Green, KY 42104-5346 | 2010-12-28 |
| 1801087440 | Amedisys Ohio, L.L.C. | Home Health | 745 Haskins Rd Ste G, Bowling Green, OH 43402-1600 | 2007-08-08 |
| 1538367578 | Trusted Senior Care, LLC | Home Health | 2475 Scottsville Rd, Suite 100, Bowling Green, KY 42104-4483 | 2007-07-10 |
| 1003814203 | Pike County Health Dept Home Health | Home Health | 1 Health Care Place, Bowling Green, MO 63334-1643 | 2005-07-12 |
| 1851469365 | Infusion Partners, Inc. | Home Health | 1711 Ashley Cir, Suite A-5, Bowling Green, KY 42104-5801 | 2006-12-01 |
| 1629001052 | Lifeline Health Care of Kentucky, Inc. | Home Health | 1600 Scottsville Rd, Suite 300, Bowling Green, KY 42104-3217 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516582 | Global Hawk LLC | Home Health | 285 Mocks Creek Dr, Danville, KY 40422-9255 | 2020-10-25 |
| 1760081160 | A Tspoon of Healing Health Care Services LLC | Home Health | 3951 Bardstown Rd Ste 5, Louisville, KY 40218-2609 | 2020-10-19 |
| 1891393203 | Leliah Home Health | Home Health | 7911 Smyrna Parkkway, Louisville, KY 40228-1805 | 2020-10-16 |
| 1063010429 | Horizon Home Health Care, LLC | Home Health | 121 W Virginia Ave Ste 200c, Pineville, KY 40977-1662 | 2020-10-16 |
| 1366049587 | Nieman Home Care LLC | Home Health | 73 Cavalier Blvd Ste 127, Florence, KY 41042-5180 | 2020-10-01 |
| 1861008351 | Matthew Karmo | Home Health | 7911 Smyrna Pkwy, Louisville, KY 40228-1805 | 2020-09-20 |
| 1306456546 | Crystal Lache Young | Home Health | 6111 Leonard Way, Louisville, KY 40229-1405 | 2020-08-03 |
| 1750991972 | Comfortable Living LLC | Home Health | 870 Corporate Dr Ste 104, Lexington, KY 40503-5417 | 2020-08-03 |
| 1952919060 | Caring Partners | Home Health | 3609 Alexaxdria Pike, Cold Spring, KY 41076 | 2020-07-15 |
| 1629693130 | Brittiney Griffin | Home Health | 3418 Burrell Dr, Louisville, KY 40216-4373 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on LIFELINE HOME HEALTH CARE OF BOWLING GREEN, LLC.
| 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.