LIFELINE SYSTEMS COMPANY

Provider Demographics

• NPI: 1023107281
• Name: LIFELINE SYSTEMS COMPANY
• Entity type: Organization
• Organization Name: LIFELINE SYSTEMS COMPANY
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: DIRECTOR, CONTRACTS AND COMPLIANCE
• Authorized Official - First Name: DAWN
• Authorized Official - Last Name: FITZGERALD
• Authorized Official - Phone: 508-988-1132
• Mailing Address - Street 1: 200 DONALD LYNCH BLVD STE 300
• Mailing Address - City: MARLBOROUGH
• Mailing Address - State: MA
• Mailing Address - Zip Code: 01752-4816
• Mailing Address - Country: US
• Mailing Address - Phone: 508-988-1000
• Mailing Address - Fax: 888-565-3577
• Practice Address - Street 1: 200 DONALD LYNCH BLVD STE 300
• Practice Address - City: MARLBOROUGH
• Practice Address - State: MA
• Practice Address - Zip Code: 01752-4816
• Practice Address - Country: US
• Practice Address - Phone: 508-988-1000
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-10-12
• Last Update Date: 2025-05-23

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	146D00000X	Emergency Medical Service Providers	Personal Emergency Response Attendant		Group - Single Specialty
No	253Z00000X	Agencies	In Home Supportive Care		Group - Single Specialty
No	332BC3200X	Suppliers	Durable Medical Equipment & Medical Supplies	Customized Equipment	Group - Single Specialty
No	333300000X	Suppliers	Emergency Response System Companies		Group - Single Specialty
No	171W00000X	Other Service Providers	Contractor		Group - Single Specialty
No	174400000X	Other Service Providers	Specialist		Group - Single Specialty
No	251S00000X	Agencies	Community/Behavioral Health

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MN	134814100	Medicaid
NH	30009079	Medicaid
OK	200043750A	Medicaid
NM	59702851	Medicaid
GA	676963205	Medicaid
WA	824831	Medicaid
SD	010502023	Medicaid
NY	01293961	Medicaid
WY	118489000	Medicaid
MA	1536249	Medicaid
VA	01023107281	Medicaid
OH	0831541	Medicaid
IA	0975821	Medicaid
KS	100315030A	Medicaid
OR	182859	Medicaid
AZ	772683	Medicaid
RI	LI81049	Medicaid
VT	047W199	Medicaid
ND	32156	Medicaid
MD	752801900	Medicaid
PA	001740680	Medicaid
CO	04142063	Medicaid
LA	1622915	Medicaid
AR	183929754	Medicaid
IN	200406460A	Medicaid
NC	3408403	Medicaid
SC	DE2531	Medicaid
TN	0445799	Medicaid
NE	22177295	Medicaid
ID	806881900	Medicaid