LIFETIME HEALTH CARE SERVICES, LLC (NPI# 1669981775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669981775 |
| Entity Type | Organization |
| Organization Name | LIFETIME HEALTH CARE SERVICES, LLC |
| Other Organization Name | LIFETIME HEALTH CARE SERVICES |
| Practice Address |
40 Auburn Park Dr Ste G Auburn GA 30011-3644 |
| Mailing Address |
40 Auburn Park Drive Suite G Auburn GA 30011-3644 |
| Practice Telephone | (678) 985-0456 |
| Practice Fax Number | 6789850457 |
| Mailing Telephone | 6789850456 |
| Mailing Fax Number | 6789850457 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | VICTORIA A AYENI (ADMINISTRATOR) |
| Authorized Official Telephone | 6789850456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 067R0355 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| lifetime Health Care services | Former Legal Business Name - Organization |
| Street Address |
40 AUBURN PARK DR STE G |
| City | AUBURN |
| State | GA |
| Zip Code | 30011-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144617747 | Niare Feaster | Home Health | 4160 Triton Ives Dr, Auburn, GA 30011 | 2015-04-21 |
| 1235537499 | Lifetime Personal Care Home, Lnc. | Community/Behavioral Health | 40 Auburn Park Drive, Auburn, GA 30011 | 2014-12-19 |
| 1821347006 | Danielle Renee Ellis | Specialist/Technologist | 4223 Saddlecreek Court, Auburn, GA 30011 | 2012-09-05 |
| 1407176001 | William Mong Herr | Dentist | 1310 Atlanta Hwy, Auburn, GA 30011 | 2010-06-04 |
| 1790939163 | Gwinnett Clinic, Ltd | Legal Medicine | 1383 Atlanta Highway, Auburn, GA 30011 | 2008-11-11 |
| 1245411800 | Ingles Markets Inc | Pharmacy | 1502 Atlanta Hwy Nw, Auburn, GA 30011 | 2007-11-23 |
| 1205056587 | Auburn Primary Care PC | Family Medicine | 12 7th Street, Auburn, GA 30011 | 2007-04-27 |
| 1174608921 | Patrick H Stephens Dmd PC | Dentist | 7 Carl Midway Ch Rd, Auburn, GA 30011 | 2006-10-26 |
| 1548691140 | A&s Health Care Service Inc | Non-emergency Medical Transport (VAN) | 2033 Tulip Petal Rd, Auburn, GA 30011-2159 | 2013-12-06 |
| 1649706169 | Denise Ann-marie White | Social Worker | 1963 Tulip Petal Rd, Auburn, GA 30011-2160 | 2017-05-03 |
| Find all providers in zip 30011 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067496 | Generosity Residential Service LLC | Home Health | 418 Turner St, Auburn, ME 04210-6024 | 2020-09-15 |
| 1487286613 | Jewel Promise Care LLC. | Home Health | 1033 Rolling Ridge Ln, Auburn, GA 30011-2625 | 2020-02-05 |
| 1508427162 | Davis Pt: A Balanced Approach, LLC | Home Health | 86 Main St Unit 204a, Auburn, ME 04210-5853 | 2019-06-25 |
| 1245899434 | Heavenly Hands Home Health Inc | Home Health | 13620 Lincoln Way Ste 240, Auburn, CA 95603-3263 | 2019-06-11 |
| 1578041778 | Accessible Home Health Care of Central Massachusetts | Home Health | 319 Southbridge St Ste 220, Auburn, MA 01501-2541 | 2018-07-31 |
| 1831621283 | Comforter's Companion | Home Health | 4231 L Pl Ne, Auburn, WA 98002-7798 | 2017-04-03 |
| 1619411063 | R & R Healthcare, LLC | Home Health | 611 E Glenn Ave, Suite C, Auburn, AL 36830-4402 | 2016-12-05 |
| 1073991790 | Freedom Providers Healthcare | Home Health | 3858 D Pl Se, Auburn, WA 98002-3800 | 2015-05-14 |
| 1144617747 | Niare Feaster | Home Health | 4160 Triton Ives Dr, Auburn, GA 30011 | 2015-04-21 |
| 1164853081 | M&s Home Health Aide Agency LLCq | Home Health | 212 Pakachoag St, Auburn, MA 01501-2543 | 2013-12-03 |
| Find all providers in AUBURN | ||||
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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.