Lifeline INC
Home Health in Medford, MA. Organization (NPI-2).
NPI number1356629174
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1356629174
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifeline INC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2011
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | MA | Yes |
Practice location
11 Salem St Ste 15Medford, MA 02155-3262
Phone 240-386-7621
Mailing address
11 Salem St Ste 15Medford, MA 02155-3262
Phone 240-386-7621
Authorized official
Rhoda Eloho Odivbri
Program Co-Ordinator
2403867621
Is something wrong?
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All 12 Home Health Agency providers in Medford · All 1,385 providers in Medford
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