Lifeline

LBN: Elkhart General Hospital Foundation, Inc.
Lifeline is an health care organization with primary practice located at 2020 Industrial Parkway Lifeline, Elkhart IN 46516-5411. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Elkhart General Hospital Foundation, Inc. can be contacted via phone (574) 524-7503, or through Housand, Jonathan W. via phone (574) 524-7458.

Contact Information

Primary practice address
2020 Industrial Parkway Lifeline Elkhart IN 46516-5411
Phone: (574) 524-7503
Fax: (574) 524-7500
Website:
Map and Directions
Authorized official contact:
Name: Housand, Jonathan W.
Phone: (574) 524-7458

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 11-005017-1 Indiana

Profile Details

NPI number 1750667184
LBN Legal business name Elkhart General Hospital Foundation, Inc.
DBA Doing business as Lifeline
Authorized official Housand, Jonathan W.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 31st, 2011
Last updated Oct 31st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750667184 NPPES
Indiana Other PENDING MEDICAID WAIVER

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