Lifeline Resources, Llc

LBN: Lifeline Resources, Llc
Lifeline Resources, Llc is an health care organization with primary practice located at 3125 Douglas Ave Ste 100 , Des Moines IA 50310-5310. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Lifeline Resources, Llc can be contacted via phone (515) 256-8001, or through Kelly, Vincent A via phone (515) 256-8001.

Contact Information

Primary practice address
3125 Douglas Ave Ste 100 Des Moines IA 50310-5310
Phone: (515) 256-8001
Fax: (515) 256-8082
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Vincent A
Phone: (515) 256-8001

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 02581 Iowa

Profile Details

NPI number 1073664694
LBN Legal business name Lifeline Resources, Llc
DBA Doing business as
Authorized official Kelly, Vincent A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 1st, 2013 - about 11 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 1073664694 NPPES
Iowa MEDICAID 0401894
Iowa MEDICAID 0401892
Iowa Other 600013244
Iowa MEDICAID 0015180

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