LIFE LINE HOME CARE INC (NPI# 1326115130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326115130 |
| Entity Type | Organization |
| Organization Name | LIFE LINE HOME CARE INC |
| Practice Address |
101 Bowens Mill Rd Douglas GA 31533-2254 |
| Mailing Address |
1610 Madison Ave Tifton GA 31794-3756 |
| Practice Telephone | 9123842621 |
| Practice Fax Number | 9123842599 |
| Mailing Telephone | 2293821334 |
| Mailing Fax Number | 2293821350 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-02-07 |
| Authorized Official Name | MR. RONNIE C DANIEL (PRESIDENT) |
| Authorized Official Telephone | 2293821334 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 303718836 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 0942290006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902179468 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 1302a Watson Blvd, Warner Robins, GA 31093-3436 | 2012-02-14 |
| 1891862405 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 4120 Coral Park Dr, Suite E, Brunswick, GA 31520-3028 | 2006-11-29 |
| 1578630190 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 3740 Saint Johns Bluff Rd S, Suite 1, Jacksonville, FL 32224-2651 | 2006-11-29 |
| 1528026226 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 1610 Madison Ave, Tifton, GA 31794-3756 | 2006-05-02 |
| 1316355076 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 6409 Abercorn St, Suite F, Savannah, GA 31405-5715 | 2014-07-25 |
| 1912270471 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 1350 Spring St Nw, Suite 100, Atlanta, GA 30309-2864 | 2012-02-14 |
| 1558634014 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 3686 Wheeler Rd, Augusta, GA 30909-6520 | 2012-02-14 |
| 1881761492 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 100 Lakeshore Dr, Suite A, Saint Marys, GA 31558-3857 | 2006-11-29 |
| 1407923022 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 220 S 14th St, Fernandina Beach, FL 32034-3216 | 2006-11-29 |
| Street Address |
101 BOWENS MILL RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1376990234 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 286 E 7th St, Douglas, AZ 85607-2868 | 2016-05-20 |
| 1437318854 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 190 Westside Dr Ste C, Douglas, GA 31533-3534 | 2008-06-02 |
| 1245401967 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 602 Peterson Ave S, Douglas, GA 31533-5233 | 2008-03-20 |
| 1477722718 | Arizona Family Care Associates, Inc | Durable Medical Equipment & Medical Supplies | 1101 San Antonio Ave, Douglas, AZ 85635 | 2008-02-20 |
| 1184806218 | Westside Drugs, Inc | Durable Medical Equipment & Medical Supplies | 308a Westside Dr, Douglas, GA 31533-3530 | 2007-11-30 |
| 1518039155 | Procare Respiratory & Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 511 Peterson Ave S, Douglas, GA 31533-5253 | 2006-11-15 |
| 1528143708 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 815 E Richards St, Ste 5, Douglas, WY 82633-2926 | 2006-10-26 |
| 1669580916 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 813 Peterson Ave S, Douglas, GA 31533-5234 | 2006-08-28 |
| 1013025485 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 901 Ward St W, Douglas, GA 31533-3517 | 2006-08-27 |
| 1598776437 | The Medicine Cabinet of Douglas, LLC | Durable Medical Equipment & Medical Supplies | 722 Shirley Ave, Douglas, GA 31533-2008 | 2006-08-10 |
| Find all providers in DOUGLAS | ||||
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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.