<Unavail>

LBN: Lifeguide, Inc
<Unavail> is an health care organization with primary practice located at 656 Indian Trail Lilburn Rd Nw Ste 208 , Lilburn GA 30047-6872. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Lifeguide, Inc can be contacted via phone (770) 557-1079, or through Johnson, Latesha via phone (317) 820-7582.

Contact Information

Primary practice address
656 Indian Trail Lilburn Rd Nw Ste 208 Lilburn GA 30047-6872
Phone: (770) 557-1079
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Latesha
Phone: (317) 820-7582

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 031-R-0050 Georgia
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1508078973
LBN Legal business name Lifeguide, Inc
DBA Doing business as <Unavail>
Authorized official Johnson, Latesha
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2007
Last updated May 24th, 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 1508078973 NPPES
Georgia MEDICAID 276046116A
Georgia MEDICAID 838117320A

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