LIFELINE INCOPORATION (NPI# 1679944094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679944094 |
| Entity Type | Organization |
| Organization Name | LIFELINE INCOPORATION |
| Practice Address |
4203 58th Ave Bladensburg MD 20710-1911 |
| Mailing Address |
4203 58th Ave Bladensburg MD 20710 |
| Practice Telephone | 3018664115 |
| Mailing Telephone | 3018664115 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Authorized Official Name | REBECCA ABORISADE (HHA) |
| Authorized Official Telephone | 3015773395 |
| 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 |
| 1104295187 | Lifeline Incoporation | Custodial Care Facility | 6823d Riverdale Rd Apt D1, Riverdale, MD 20737-1835 | 2015-09-18 |
| 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 |
4203 58TH AVE |
| City | BLADENSBURG |
| State | MD |
| Zip Code | 20710-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745969 | Kudirat Yusuf | Registered Nurse | 5106 Upshur St, Bladensburg, MD 20710 | 2018-10-12 |
| 1083100903 | Solange Lum Ngwa | Home Health | 3801 Kenilworth Ave Apt 401e, Bladensburg, MD 20710 | 2018-07-03 |
| 1093215816 | Bilikis Adejoke Bello I | Home Health Aide | 4265 58th Ave Apt T1, Bladensburg, MD 20710 | 2018-02-19 |
| 1689047409 | Lifeline Incoporation | Custodial Care Facility | 502 Varnum Street, Bladensburg, MD 20710 | 2015-11-02 |
| 1881016376 | Emmanuel Achaleke | Student in an Organized Health Care Education/Training Program | 5800 Annapolis Road, Apartment 807, Bladensburg, MD 20710 | 2014-01-17 |
| 1912338716 | Omoseke Olasesan | Home Health Aide | 5006 57th Ave, Bladensburg, MD 20710 | 2013-12-03 |
| 1629400171 | Okechukwu N Emmanuel | Home Health Aide | 5030 57th Ave Apt 201, Bladensburg, MD 20710 | 2013-08-07 |
| 1831534775 | Idowu Ojo | Home Health Aide | 5202 Varunm St, Bladensburg, MD 20710 | 2013-05-06 |
| 1558609479 | Osman Tot Kamara | Home Health Aide | 4319 57th Ave Apt 10, Bladensburg, MD 20710 | 2013-01-28 |
| 1659636942 | Afoussath Amoussa | Home Health Aide | 5021 Townsend Way, A3, Bladensburg, MD 20710 | 2012-07-12 |
| Find all providers in zip 20710 | ||||
| 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 |
|---|---|---|---|---|
| 1689047409 | Lifeline Incoporation | Custodial Care Facility | 502 Varnum Street, Bladensburg, MD 20710 | 2015-11-02 |
| 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 | ||||
| City | BLADENSBURG |
| Zip Code | 20710 |
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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.