LIFELINE INCOPORATION NPI 1750750733

NPI Information

  • NPI: 1750750733
  • Provider Name: LIFELINE INCOPORATION
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 4213 OGLETHORPE ST APT 4
    HYATTSVILLE, MD
    ZIP 20781
  • Phone: (240) 898-6687

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NPI Details

LIFELINE INCOPORATION is an adult care home custodial care facility in Hyattsville, MD. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. LIFELINE INCOPORATION NPI is 1750750733. The provider is registered as an organization entity type.

The provider's business location address is:

4213 OGLETHORPE ST APT 4
HYATTSVILLE, MD
ZIP 20781-540
Phone: (240) 898-6687

The provider's authorized official is Ouwakemi Agboto .
The authorized official title is Hha and has the following contact phone number (301) 825-2189.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 9/18/2015.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

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This page was last updated on: 11/21/2025

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