LIFELINE HOME CARE, INC (NPI# 1750588760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750588760 |
| Entity Type | Organization |
| Organization Name | LIFELINE HOME CARE, INC |
| Practice Address |
14701 Lee Hwy Suite 206 Centreville VA 20121 |
| Mailing Address |
14701 Lee Hwy Suite 206 Centreville VA 20121-2133 |
| Practice Telephone | 7035437511 |
| Mailing Telephone | 7035437511 |
| Mailing Fax Number | 7035437512 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | MS. IRENE OSEI (ADMINISTRATOR) |
| Authorized Official Telephone | 7035437511 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | VA | Respite Care Facility | |
| N | 251E00000X | Home Health | VA | Agencies | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
VA | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0103784358 | 05 |
| Street Address |
14701 LEE HWY SUITE 206 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747404 | Nulife Physical Therapy P. C. | Specialist | 14701 Lee Hwy, Suite # 206, Centreville, VA 20121-2114 | 2005-11-16 |
| 1023561339 | Dae Hyung Kim | Acupuncturist | 14701 Lee Hwy, Suite 306, Centreville, VA 20121-2137 | 2016-08-03 |
| 1760935084 | Nova Training Center Clinic | Acupuncturist | 14701 Lee Hwy, Suite 306, Centreville, VA 20121-2137 | 2016-08-03 |
| 1285082016 | Loudoun Medical Group PC | Obstetrics & Gynecology | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2137 | 2016-06-02 |
| 1053692343 | Traci Annetta Marin | Advanced Practice Midwife | 14701 Lee Hwy, Suite 304, Centreville, VA 20121-2137 | 2011-08-31 |
| 1477832459 | Lee Seob Park | Chiropractor | 14701 Lee Hwy, Suite 307, Centreville, VA 20121-2137 | 2011-08-09 |
| 1295026086 | Image Medical LLC | Physician Assistant | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2137 | 2011-04-27 |
| 1033385026 | Neda Hashemi Md PC | Obstetrics & Gynecology | 14701 Lee Hwy, #303, Centreville, VA 20121-2137 | 2008-04-30 |
| 1215008024 | First Chiropractic &acupuncture | Chiropractor | 14701 Lee Hwy, Suite 307, Centreville, VA 20121-2137 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841251 | Katie Lynn Owen | Technician | 131 Magnolia Ln, Bluefield, VA 24605-1347 | 2020-11-06 |
| 1093316432 | Hope and Harmony Home Care LLC | Technician | 16909 Takeaway Ln, Dumfries, VA 22026-3028 | 2020-11-03 |
| 1851991962 | Brianna Hall | Technician | 273 Heather St, Falls Mills, VA 24613-9363 | 2020-10-28 |
| 1184238701 | Carlton B Herrera | Technician | 3509 Ethel James Dr, Chesapeake, VA 23323-1249 | 2020-09-01 |
| 1750993994 | John Irving Collins | Technician | 180 Angles Hollow Rd, North Tazewell, VA 24630-8065 | 2020-08-19 |
| 1982216446 | Maria A Martinez Ferrufino | Technician | 5100 8th Rd S Apt 210, Arlington, VA 22204-2834 | 2020-08-17 |
| 1295346765 | Deahua Denise Lavender | Technician | 231 Chalmers Ct, Berryville, VA 22611-1358 | 2020-08-10 |
| 1255940680 | Angela Mizell | Technician | 618 Battery Ave, Suffolk, VA 23434-5914 | 2020-07-31 |
| 1801414198 | Jph Enterprise, LLC Dba Preferred Care At Home of Virginia Beach | Technician | 1520 Stonemoss Ct Ste 101, Virginia Beach, VA 23462-5731 | 2020-07-13 |
| 1487280004 | Tarikawe Ashenafi Daniel | Technician | 4600 Duke St Apt 1525, Alexandria, VA 22304-2513 | 2020-03-15 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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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.