Provider Demographics
NPI:1780075218
Name:LIFE FORCE CAREGIVERS, INC.
Entity type:Organization
Organization Name:LIFE FORCE CAREGIVERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:H
Authorized Official - Last Name:EVEREKLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-737-4400
Mailing Address - Street 1:127 E. GLENWOOD AVE.
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977
Mailing Address - Country:US
Mailing Address - Phone:302-514-9728
Mailing Address - Fax:302-514-9924
Practice Address - Street 1:127 E. GLENWOOD AVE.
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977
Practice Address - Country:US
Practice Address - Phone:302-514-9728
Practice Address - Fax:302-514-9924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPASA#007311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE#007OtherPASA