LIFEGUIDE INC NPI 1508078973

NPI Information

NPI: 1508078973
Provider Name: LIFEGUIDE, INC

Doing Business As: LIFEGUIDE HEALTH SERVICES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
656 INDIAN TRAIL LILBURN RD NW STE 208
LILBURN, GA
ZIP 30047
Phone: (770) 557-1079
Get Directions

LIFEGUIDE, INC is a primary care clinic center in Lilburn, GA. LIFEGUIDE, INC NPI is 1508078973. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeguide Health Services.

The provider's business location address is:

656 INDIAN TRAIL LILBURN RD NW STE 208
LILBURN, GA
ZIP 30047-872
Phone: (770) 557-1079

The provider's authorized official is Latesha Johnson .
The authorized official title is Manager and has the following contact phone number (317) 820-7582.

The enumeration date for this NPI number is 5/5/2007 and was last updated on 5/24/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		031-R-0050	GEORGIA	No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	276046116A	MEDICAID	GEORGIA
2	838117320A	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »