Provider Demographics
NPI:1427376722
Name:LIFETIME HOME HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:LIFETIME HOME HEALTH CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-882-1101
Mailing Address - Street 1:796 PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2341
Mailing Address - Country:US
Mailing Address - Phone:614-882-1101
Mailing Address - Fax:614-882-1186
Practice Address - Street 1:4371 E BROAD ST STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1248
Practice Address - Country:US
Practice Address - Phone:614-882-1101
Practice Address - Fax:614-882-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2977122Medicaid
OH368235Medicare Oscar/Certification