Provider Demographics
NPI:1922865864
Name:LIFELINK CARE LLC
Entity Type:Organization
Organization Name:LIFELINK CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-895-7825
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:IA
Mailing Address - Zip Code:50032-0391
Mailing Address - Country:US
Mailing Address - Phone:515-895-8725
Mailing Address - Fax:
Practice Address - Street 1:1725 6TH AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3304
Practice Address - Country:US
Practice Address - Phone:515-207-0883
Practice Address - Fax:515-207-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities