Provider Demographics
NPI:1700483492
Name:LIFE SAVER HOME HEALTH, LLC
Entity Type:Organization
Organization Name:LIFE SAVER HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JALEESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUYCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-980-7452
Mailing Address - Street 1:23332 FARMINGTON RD # 937
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-9991
Mailing Address - Country:US
Mailing Address - Phone:248-306-9707
Mailing Address - Fax:
Practice Address - Street 1:23332 FARMINGTON RD # 937
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-9991
Practice Address - Country:US
Practice Address - Phone:248-306-9707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health