Provider Demographics
NPI:1801572482
Name:LIFTED HEALTHCARE GROUP INC.
Entity type:Organization
Organization Name:LIFTED HEALTHCARE GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-777-3000
Mailing Address - Street 1:8400 BELLEVIEW DR STE 155
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0432
Mailing Address - Country:US
Mailing Address - Phone:972-777-3000
Mailing Address - Fax:972-777-3100
Practice Address - Street 1:8400 BELLEVIEW DR STE 155
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0432
Practice Address - Country:US
Practice Address - Phone:972-777-3000
Practice Address - Fax:972-777-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based