LIFE LINE CONNECTION LLC (NPI# 1285905125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285905125 |
| Entity Type | Organization |
| Organization Name | LIFE LINE CONNECTION LLC |
| Practice Address |
9635 Southern Pine Blvd Charlotte NC 28273-5558 |
| Mailing Address |
6210 Candlewood Dr Charlotte NC 28210-4506 |
| Practice Telephone | 7042319481 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MS. KAMESHA DENISE HARRIS (OWNER) |
| Authorized Official Telephone | 7042319481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
9635 SOUTHERN PINE BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783078 | Denise Simone Mason | Social Worker | 9635 Southern Pine Blvd, Suite 127, Charlotte, NC 28273-5558 | 2008-09-29 |
| 1528593753 | Solutions for Life; Counseling, Life Coaching, and Consulting Services | Community/Behavioral Health | 9635 Southern Pine Blvd, Suite 122,124, Charlotte, NC 28273-5540 | 2017-04-25 |
| 1699218875 | Tracy Chavonne Setzer | Social Worker | 9635 Southern Pine Blvd, Charlotte, NC 28273-5540 | 2016-11-21 |
| 1952782013 | Tender Loving Care Home Health Care | In Home Supportive Care | 9635 Southern Pine Blvd, Suite # 136, Charlotte, NC 28273-5540 | 2015-06-15 |
| 1568849446 | Essential Assessments and Behavioral Health | Psychologist | 9635 Southern Pine Blvd, Suite 102, Charlotte, NC 28273-5540 | 2015-04-30 |
| 1407244718 | Kristin N. Davis | Marriage & Family Therapist | 9635 Southern Pine Blvd, Ste 101, Charlotte, NC 28273-5540 | 2015-01-08 |
| 1811310329 | Marie C Gladden | Specialist | 9635 Southern Pine Blvd, Ste 154, Charlotte, NC 28273-5558 | 2014-02-04 |
| 1669726600 | Freedom Now Healthcare Services | Nurse Practitioner | 9635 Southern Pine Blvd, 122, Charlotte, NC 28273-5558 | 2012-10-29 |
| 1184955460 | Tiffany Clarissa Huggins | Counselor | 9635 Southern Pine Blvd, Suite 116, Charlotte, NC 28273-5558 | 2010-01-26 |
| 1760710412 | Ichep of Charlotte, LLC | Counselor | 9635 Southern Pine Blvd, Suite 126, Charlotte, NC 28273-5558 | 2009-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1356640247 | No Bounds Care Inc. | Exclusive Provider Organization | 520 Collins Aikman Dr, Ste 208, Charlotte, NC 28262-3317 | 2011-03-18 |
| 1740457027 | Inspirational In-home Care Inc. | Exclusive Provider Organization | 5736 N Tryon St, 201-c, Charlotte, NC 28213-6850 | 2008-05-15 |
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| 1013465269 | Marriageforkeeps Wellness Center LLC | Exclusive Provider Organization | 9600 Broad Brush Ave, Wake Forest, NC 27587-0004 | 2016-09-16 |
| 1467810143 | William R. Warren Dds,pa | Exclusive Provider Organization | 1241 W Clemmonsville Rd, Winston Salem, NC 27127-4790 | 2016-02-09 |
| 1992177505 | Dorita S. Berger | Exclusive Provider Organization | 1657 Snowmass Way, Durham, NC 27713-4514 | 2015-10-22 |
| 1578948832 | Carolina Care Giver Services,llc | Exclusive Provider Organization | 110 Memory Plz, Whiteville, NC 28472-2640 | 2015-07-28 |
| 1346636768 | My Omni Housecalls, LLC | Exclusive Provider Organization | 208 Bridford Downs Dr, Greensboro, NC 27407-2767 | 2015-04-13 |
| 1215341649 | New Beginning of Nc, LLC | Exclusive Provider Organization | 100 Westlake Rd Ste 100, Fayetteville, NC 28314-1660 | 2014-06-13 |
| 1255773792 | Amethyst LLC | Exclusive Provider Organization | 806 Ne Roundtree Street, Wilson, NC 27893-0806 | 2013-07-25 |
| 1952640765 | Sandhills Center for Md/dd/sas | Exclusive Provider Organization | 1120 7 Lakes Dr, West End, NC 27376-9082 | 2013-02-14 |
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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.