Life Line Home Care Services
LBN: Life Line Home Care Services
Life Line Home Care Services is an health care organization with primary practice located at 1610 Madison Ave , Tifton GA 31794-3756. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Life Line Home Care Services can be contacted via phone (229) 382-1334, or through Daniel, Ronnie C via phone (229) 382-1334.
Contact Information
Primary practice address
1610 Madison Ave
Tifton GA 31794-3756
Phone: (229) 382-1334
Fax: (229) 382-1350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHRE007390 | Georgia |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 1370 | Florida |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | PHRE007390 | Georgia |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 1370 | Florida |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | PHRE007390 | Georgia |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 322562 | Florida |
| Suppliers / Pharmacy | 333600000X | PHRE007390 | Georgia |
| Suppliers / Pharmacy | 333600000X | PH18569 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | PHRE007390 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X | PH18569 | Florida |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | PHRE007390 | Georgia |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | PH18569 | Florida |
| Suppliers / Specialty Pharmacy | 3336S0011X | PHRE007390 | Georgia |
| Suppliers / Specialty Pharmacy | 3336S0011X | PH18569 | Florida |
Profile Details
| NPI number | 1841560786 |
|---|---|
| LBN Legal business name | Life Line Home Care Services |
| DBA Doing business as | |
| Authorized official | Daniel, Ronnie C PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 10th, 2012 |
| Last updated | Jan 10th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841560786 | NPPES |
| Georgia | Other | 1148243 | NABP |
| Georgia | MEDICAID | 00494337A | NABP |
| Georgia | MEDICAID | 00494337B | NABP |
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