LIFELINE HOME HEALTH INC (NPI# 1972981090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972981090 |
| Entity Type | Organization |
| Organization Name | LIFELINE HOME HEALTH INC |
| Practice Address |
4309 Kenwood Dr Woodbridge VA 22193 |
| Mailing Address |
4309 Kenwood Dr Woodbridge VA 22193-5282 |
| Practice Telephone | 3014425796 |
| Mailing Telephone | 3014425796 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | MRS. EUGENIE MBOUTCHOCK KABIWA (CEO) |
| Authorized Official Telephone | 3014425796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2407 | VA | Agencies |
| Street Address |
4309 KENWOOD DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356796668 | Woodside Healthcare | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4309 Kenwood Dr, Woodbridge, VA 22193-5282 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| 1619263092 | Long Healthcare | Adult Companion | 12998 Taxi Drive, Woodbridge, VA 22193 | 2011-06-23 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1770142697 | Well Living LLC | Community/Behavioral Health | 30 Hazel Ter Ste 20, Woodbridge, CT 06525-2240 | 2019-06-13 |
| 1417412818 | Perseverance Counseling Services LLC | Community/Behavioral Health | 1376 Old Bridge Rd # 101-2, Woodbridge, VA 22192-2708 | 2019-02-10 |
| 1467966739 | Clotilda Choh | Community/Behavioral Health | 4740 Pearson Dr, Woodbridge, VA 22193-5413 | 2017-11-25 |
| 1710432653 | Sucess Matters, LLC | Community/Behavioral Health | 14071 Big Crest Ln, 208, Woodbridge, VA 22191-5573 | 2016-08-21 |
| 1508215542 | Cece Counseling, LLC | Community/Behavioral Health | 19b Hazel Ter, Woodbridge, CT 06525-2209 | 2016-06-09 |
| 1679954630 | The Arc Middlesex County | Community/Behavioral Health | 114 Main St Ste C, Woodbridge, NJ 07095-2820 | 2015-06-16 |
| 1033512199 | About Change, LLC | Community/Behavioral Health | 13190 Centerpointe Way, Woodbridge, VA 22193-5286 | 2014-10-03 |
| 1760828321 | Tiny Tadpoles Behavioral Services, LLC | Community/Behavioral Health | 14060 Big Crest Ln Apt 403, Woodbridge, VA 22191-5537 | 2013-05-21 |
| 1407197353 | Circle of Hope Therapeutic Services, Inc. | Community/Behavioral Health | 15251 Colony Pl Apt 209, Woodbridge, VA 22191-4959 | 2013-03-01 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
Please comment or provide details below to improve the information on LIFELINE HOME HEALTH INC.
| 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.