Provider Demographics
NPI:1215700703
Name:LIFECARE FOR SENIORS
Entity type:Organization
Organization Name:LIFECARE FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD CARE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:FARGASON
Authorized Official - Last Name:BAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:MSHA, MBA
Authorized Official - Phone:205-848-8400
Mailing Address - Street 1:6 OFFICE PARK CIR STE 216
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2677
Mailing Address - Country:US
Mailing Address - Phone:205-848-8400
Mailing Address - Fax:205-449-2832
Practice Address - Street 1:6 OFFICE PARK CIR STE 216
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2677
Practice Address - Country:US
Practice Address - Phone:205-848-8400
Practice Address - Fax:205-449-2832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management