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LIFETIME HOME HEALTH CARE CORP NPI 1912166497


NPI Information

NPI: 1912166497
Provider Name: LIFETIME HOME HEALTH CARE CORP
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 10D1087967

Address:
13335 SW 124TH ST STE 213
MIAMI, FL
ZIP 33186
Phone: (305) 412-9070
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LIFETIME HOME HEALTH CARE CORP is an in home supportive care in Miami, FL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. LIFETIME HOME HEALTH CARE CORP NPI is 1912166497. The provider is registered as an organization entity type.

The provider's business location address is:

13335 SW 124TH ST STE 213
MIAMI, FL
ZIP 33186-515
Phone: (305) 412-9070
Fax: (305) 412-7773

The provider's authorized official is Alberto Carlos Ley .
The authorized official title is Administrator and has the following contact phone number (305) 412-9070.

The CLIA number assigned to this NPI record is 10D1087967 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 2/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthNo
2253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1109897200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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