Provider Demographics
NPI:1154188365
Name:LIFELINE CARE SERVICES LLC
Entity type:Organization
Organization Name:LIFELINE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-397-2757
Mailing Address - Street 1:888 NIGHTLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8808
Mailing Address - Country:US
Mailing Address - Phone:603-397-2757
Mailing Address - Fax:
Practice Address - Street 1:888 NIGHTLIGHT DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8808
Practice Address - Country:US
Practice Address - Phone:603-397-2757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health