Provider Demographics
NPI:1972650307
Name:LIFEHEALTH LLC
Entity Type:Organization
Organization Name:LIFEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAMILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-475-9230
Mailing Address - Street 1:5554 SOUTH PRINCE ST
Mailing Address - Street 2:SUITE 131
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120
Mailing Address - Country:US
Mailing Address - Phone:303-475-9230
Mailing Address - Fax:303-798-5829
Practice Address - Street 1:5554 SOUTH PRINCE ST
Practice Address - Street 2:SUITE 131
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-475-9230
Practice Address - Fax:303-798-5829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health