LIFE LINE HOME CARE INC (NPI# 1407923022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407923022 |
| Entity Type | Organization |
| Organization Name | LIFE LINE HOME CARE INC |
| Practice Address |
220 S 14th St Fernandina Beach FL 32034-3216 |
| Mailing Address |
1610 Madison Ave Tifton GA 31794-3756 |
| Practice Telephone | 9043210242 |
| Practice Fax Number | 9043210930 |
| Mailing Telephone | 9043210242 |
| Mailing Fax Number | 9043210930 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | MR. RONNIE C DANIEL (PRESIDENT) |
| Authorized Official Telephone | 2293821334 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
55-8013641105-5 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | 0942290004 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902179468 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 1302a Watson Blvd, Warner Robins, GA 31093-3436 | 2012-02-14 |
| 1326115130 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 101 Bowens Mill Rd, Douglas, GA 31533-2254 | 2006-11-29 |
| 1891862405 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 4120 Coral Park Dr, Suite E, Brunswick, GA 31520-3028 | 2006-11-29 |
| 1578630190 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 3740 Saint Johns Bluff Rd S, Suite 1, Jacksonville, FL 32224-2651 | 2006-11-29 |
| 1528026226 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 1610 Madison Ave, Tifton, GA 31794-3756 | 2006-05-02 |
| 1316355076 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 6409 Abercorn St, Suite F, Savannah, GA 31405-5715 | 2014-07-25 |
| 1912270471 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 1350 Spring St Nw, Suite 100, Atlanta, GA 30309-2864 | 2012-02-14 |
| 1558634014 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 3686 Wheeler Rd, Augusta, GA 30909-6520 | 2012-02-14 |
| 1881761492 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 100 Lakeshore Dr, Suite A, Saint Marys, GA 31558-3857 | 2006-11-29 |
| Street Address |
220 S 14TH ST |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710950050 | David P Page | Family Medicine | 220 S 14th St, Fernandina Beach, FL 32034-3216 | 2006-02-08 |
| 1003041781 | Janet Adams Carver | Nurse Practitioner | 220 S 14th St, Fernandina Beach, FL 32034-3216 | 2009-05-24 |
| 1306948179 | Lori Young Tilton | Physician Assistant | 220 S 14th St, Fernandina Beach, FL 32034-3216 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306988803 | Amelia Home Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 474274 State Road 200, Fernandina Beach, FL 32034 | 2007-02-12 |
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| 1225686900 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 33853 Sr 54 Ste 101, Zephyrhills, FL 33543-9105 | 2019-08-27 |
| 1811549108 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 8520 4th St N, St Petersburg, FL 33702-3102 | 2019-07-16 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1336613116 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 7723 Collier Blvd Unit 302, Naples, FL 34114-2771 | 2019-01-15 |
| 1609344647 | Special Care Medical of Sc, Inc. | Durable Medical Equipment & Medical Supplies | 5316 Lena Rd Ste 107, Bradenton, FL 34211-9438 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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| 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.