Provider Demographics
NPI:1821411471
Name:LIFELINE MANAGEMENT INC
Entity Type:Organization
Organization Name:LIFELINE MANAGEMENT INC
Other - Org Name:LIFELIN EHEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BUKKY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUSANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-589-5289
Mailing Address - Street 1:9800 CENTRE PKWY
Mailing Address - Street 2:655
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8271
Mailing Address - Country:US
Mailing Address - Phone:713-589-5289
Mailing Address - Fax:713-995-1806
Practice Address - Street 1:9800 CENTRE PKWY
Practice Address - Street 2:655
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8271
Practice Address - Country:US
Practice Address - Phone:713-589-5289
Practice Address - Fax:713-995-1806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health