LIFE LINES RESIDENTIAL SERVICES (NPI# 1558885707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558885707 |
| Entity Type | Organization |
| Organization Name | LIFE LINES RESIDENTIAL SERVICES |
| Practice Address |
300 Casaloma Dr Forest VA 24551-1704 |
| Practice Telephone | (434) 444-1540 |
| Mailing Telephone | 4344441540 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Authorized Official Name | MARIE WARD (OWNER) |
| Authorized Official Telephone | 4344441540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
300 CASALOMA DR |
| City | FOREST |
| State | VA |
| Zip Code | 24551-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1528536992 | Crossroads Family Dentistry | Dentist | 14761 Forest Road, Forest, VA 24551 | 2018-11-05 |
| 1265941736 | Michel Kay Gage | Specialist/Technologist | 1062 Daltons Dr, Forest, VA 24551 | 2017-09-27 |
| 1740700186 | Advanced Family Interventions LLC | Case Management | 1047 Vista Park Dr, Ste A, Forest, VA 24551 | 2017-06-27 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1982150116 | Lee Robinson | Physical Therapy Assistant | 208 Gristmill Ave, Forest, VA 24551 | 2016-08-28 |
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| 1134512502 | Christine Elise Deschambault | Dental Hygienist | 16862 Forest Road, Forest, VA 24551 | 2015-03-10 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| Find all providers in zip 24551 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940597 | Deborah Sue Thompson | Private Vehicle | 5151 County Road 159, Forest, OH 45843-9538 | 2020-10-20 |
| 1912473067 | James A Rosser Jr. | Private Vehicle | 102 Collingswood Ct, Forest, VA 24551-1442 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119808 | Mercy Transports LLC | Private Vehicle | 3212 Mechanicsville Turnpike, Mechanicsville, VA 23111 | 2020-09-16 |
| 1992321517 | Kenneth Bell | Private Vehicle | 47 Gainsborough Pl, Newport News, VA 23608-2029 | 2020-06-19 |
| 1720601065 | Tenea Latrice Walker | Private Vehicle | 2780 Mahixon Rd, Manquin, VA 23106-2318 | 2020-05-21 |
| 1649892589 | Shanique Washington | Private Vehicle | 2247 Dellrose Dr Apt A, Hopewell, VA 23860-7205 | 2020-05-14 |
| 1164044103 | Cornell Daniel Bailey | Private Vehicle | 1016 Level Green Blvd, Virginia Beach, VA 23464-4509 | 2020-05-13 |
| 1427684950 | Michelle Denise Young | Private Vehicle | 1228 Golden Leaf Rd, Nathalie, VA 24577-3494 | 2020-03-17 |
| 1083248884 | Lowell D. Evans | Private Vehicle | 114 Pine Shores Ln, Huddleston, VA 24104-3155 | 2020-03-02 |
| 1841823713 | Rachel Nicole Davis | Private Vehicle | 529 Freeze Rd, Danville, VA 24540-2135 | 2020-02-19 |
| 1235762345 | Michael E Shannon | Private Vehicle | 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 | 2020-02-17 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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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.