Provider Demographics
NPI:1346473501
Name:LIFELINE NURSING, LLC
Entity Type:Organization
Organization Name:LIFELINE NURSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-891-8243
Mailing Address - Street 1:PO BOX 1122
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-7122
Mailing Address - Country:US
Mailing Address - Phone:203-891-8243
Mailing Address - Fax:203-799-2810
Practice Address - Street 1:153 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3205
Practice Address - Country:US
Practice Address - Phone:203-891-8243
Practice Address - Fax:203-799-2810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health