Lifeguide Health Services
LBN: Lifeguide, Inc
Lifeguide Health Services is an health care organization with primary practice located at 656 Indian Trail Lilburn Rd Nw Ste 208 , Lilburn GA 30047-6872. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Lifeguide, Inc can be contacted via phone (770) 557-1079, or through Johnson, Latesha via phone (317) 820-7582.
Contact Information
Primary practice address
656 Indian Trail Lilburn Rd Nw Ste 208
Lilburn GA 30047-6872
Phone: (770) 557-1079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 031-R-0050 | Georgia |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1508078973 |
|---|---|
| LBN Legal business name | Lifeguide, Inc |
| DBA Doing business as | Lifeguide Health Services |
| Authorized official | Johnson, Latesha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2007 |
| Last updated | May 24th, 2022 - about 2 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 | 1508078973 | NPPES |
| Georgia | MEDICAID | 276046116A | |
| Georgia | MEDICAID | 838117320A |
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