Life Line Home Care Inc

LBN: Life Line Home Care Inc
Life Line Home Care Inc is an health care organization with primary practice located at 1610 Madison Ave , Tifton GA 31794-3756. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Life Line Home Care Inc can be contacted via phone (229) 382-1334, or through Daniel, Ronnie C via phone (229) 382-1334.

Contact Information

Primary practice address
1610 Madison Ave Tifton GA 31794-3756
Phone: (229) 382-1334
Fax: (229) 382-1350
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Ronnie C PHARMD
Phone: (229) 382-1334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE007390 Georgia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1370 Florida
Suppliers / Parenteral & Enteral Nutrition 332BP3500X PHRE007390 Georgia
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 1370 Florida
Suppliers / Oxygen Equipment & Supplies 332BX2000X PHRE007390 Georgia
Suppliers / Oxygen Equipment & Supplies 332BX2000X 322562 Florida
Suppliers / Pharmacy 333600000X PH18569 Florida
Suppliers / Compounding Pharmacy 3336C0004X PHRE007390 Georgia
Suppliers / Compounding Pharmacy 3336C0004X PH18569 Florida
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PH18569 Florida
Suppliers / Specialty Pharmacy 3336S0011X PH18569 Florida

Profile Details

NPI number 1528026226
LBN Legal business name Life Line Home Care Inc
DBA Doing business as
Authorized official Daniel, Ronnie C PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Aug 30th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528026226 NPPES
Georgia MEDICAID 00494337B
Georgia MEDICAID 00494337A
Georgia Other 1148243

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