LIFELINE HOME HEALTH CARE OF RUSSELLVILLE, LLC (NPI# 1649204421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649204421 |
| Entity Type | Organization |
| Organization Name | LIFELINE HOME HEALTH CARE OF RUSSELLVILLE, LLC |
| Other Organization Name | LIFELINE HEALTH CARE OF LOGAN |
| Practice Address |
1527 Nashville St Russellville KY 42276-8851 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 2707262408 |
| Practice Fax Number | 2707267213 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-03-05 |
| 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 | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100003520 | 05 | |
| KY | 7100003530 | 05 | |
| KY | 7100005720 | 05 | |
| KY | ANTHEM BLUE CROSS BLUE SH | 000000503509 | 01 |
| Other Name | Type Code |
|---|---|
| Lifeline Health Care of Logan | Doing Business As Name - Organization |
| Street Address |
1527 NASHVILLE ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-8851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093213076 | Kentucky In-home Partner-ii, LLC | Home Health | 1527 Nashville St, Russellville, KY 42276-8851 | 2018-01-25 |
| 1093920480 | Pathak & Pathak, M.d., P.s.c. | Obstetrics & Gynecology | 1527 Nashville St, Russellville, KY 42276-8851 | 2007-05-11 |
| 1841330933 | Kunja J Pathak | Obstetrics & Gynecology | 1527 Nashville St, Russellville, KY 42276-8851 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| 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 |
|---|---|---|---|---|
| 1972945319 | Trinity River Valley Home Health, LLC | Home Health | 1708 W C Pl, Russellville, AR 72801-2773 | 2013-07-26 |
| 1528224581 | Amcare Senior Life Partners, Inc | Home Health | 220 E 4th St, Russellville, AR 72801-5134 | 2008-07-30 |
| 1316037500 | Home Care Pediatric Therapy Pa | Home Health | 2315 Honeysuckle Ln, Russellville, AR 72801-5526 | 2006-10-16 |
| 1225049828 | Southern Rural Health Care Consortium | Home Health | 508 Saint Clair St Se, Russellville, AL 35653-2720 | 2006-08-10 |
| 1184634230 | State of Arkansas | Home Health | 1509 East Main Street Suite 6, Pope County Health Unit, Russellville, AR 72802-9405 | 2006-08-09 |
| 1093213076 | Kentucky In-home Partner-ii, LLC | Home Health | 1527 Nashville St, Russellville, KY 42276-8851 | 2018-01-25 |
| 1912357948 | Kah Development 4, LLC | Home Health | 1509 E Main St, Suite 6, Russellville, AR 72801-5326 | 2016-06-21 |
| 1184865180 | In Focus Elder Care Inc | Home Health | 381 Irvin Rd, Russellville, AR 72802-2074 | 2009-03-20 |
| 1316084684 | Russellville Hospital Inc. | Home Health | 15155 Highway 43, Russellville, AL 35653-1975 | 2007-01-30 |
| 1235149212 | Care Iv, Inc. | Home Health | 1008 W Main St, Russellville, AR 72801-3518 | 2006-08-09 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on LIFELINE HOME HEALTH CARE OF RUSSELLVILLE, 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.