LIFELINE INCOPORATION (NPI# 1750750733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750750733 |
| Entity Type | Organization |
| Organization Name | LIFELINE INCOPORATION |
| Practice Address |
4213 Oglethorpe St Apt 4 Hyattsville MD 20781-1540 |
| Practice Telephone | 2408986687 |
| Mailing Telephone | 2408986687 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | OUWAKEMI AGBOTO (HHA) |
| Authorized Official Telephone | 3018252189 |
| 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 |
| 1679944094 | Lifeline Incoporation | Custodial Care Facility | 4203 58th Ave, Bladensburg, MD 20710-1911 | 2015-10-12 |
| 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 |
| Street Address |
4213 OGLETHORPE ST APT 4 |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20781-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609127323 | John Funwi Tangie | Community Health Worker | 4213 Oglethorpe St Apt 4, Hyattsville, MD 20781-1540 | 2012-09-20 |
| 1427413053 | Oluwakemi Agbato | Home Health Aide | 4213 Oglethorpe St Apt 4, Hyattsville, MD 20781-1540 | 2015-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306338439 | Afi N Keto | Home Health Aide | 5705 43rd Ave Apt 2, Hyattsville, MD 20781 | 2018-06-04 |
| 1760899637 | Brigid Prosser | Registered Nurse | 5804 Baltimore Ave., Hyattsville, MD 20781 | 2014-07-12 |
| 1689918807 | Flora P Krimi-johnson | Home Health Aide | 5247 Kenilworth Av Apt 304, Hyattsville, MD 20781 | 2012-11-15 |
| 1235493305 | Elohor Ogbotor | Home Health Aide | 6527 Landover Rd, 201, Cheverly, MD 20781 | 2012-07-03 |
| 1013145887 | Fisseha Yitbarek Ghidey | Internal Medicine | 4509 Garfield St, Hyattsville, MD 20781 | 2009-06-30 |
| 1053504068 | Marie Surasky | Dentist | 5310 Kenilworth Ave, Hyattsville, MD 20781 | 2007-08-22 |
| 1144258278 | Wendy C Norris | Specialist/Technologist | Dematha High School, 4313 Madison St., Hyattsville, MD 20781 | 2006-06-29 |
| 1669712220 | Melvin Scott | Nurse Practitioner | 5804 Baltimore Ave, Hyattsville, MD 20781 | 2013-02-19 |
| 1467710814 | Meeken Diversified Management | Assisted Living Facility | 4849 Lydell Rd, Hyattsville, MD 20781-1116 | 2012-04-23 |
| 1396003729 | Bethesda Medical Equipment& Supplies | Durable Medical Equipment & Medical Supplies | 5728 Tuxedo Rd, Hyattsville, MD 20781-1316 | 2012-04-23 |
| Find all providers in zip 20781 | ||||
| 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 |
|---|---|---|---|---|
| 1205228871 | Loving and Caring Hands Communityfacility,llc | Custodial Care Facility | 1033 Higgins Way, Hyattsville, MD 20782-2343 | 2015-02-19 |
| 1912337106 | Bilos Mega Care | Custodial Care Facility | 6475 New Hampshire Ave Ste B504f, Hyattsville, MD 20783-3269 | 2013-11-25 |
| 1083877195 | Global Home Health Agency, Inc | Custodial Care Facility | 6475 New Hampshire Ave, Suite 608, Hyattsville, MD 20783-3269 | 2008-07-08 |
| 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 | HYATTSVILLE |
| Zip Code | 20781 |
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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.