Provider Demographics
NPI:1891584298
Name:LYFEWORK HEALTHCARE, LLC
Entity type:Organization
Organization Name:LYFEWORK HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE MANAGER/HEALTH COACH
Authorized Official - Prefix:MISS
Authorized Official - First Name:TANGELA
Authorized Official - Middle Name:LACHELLE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-281-3689
Mailing Address - Street 1:PO BOX 8450
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-0450
Mailing Address - Country:US
Mailing Address - Phone:443-804-2613
Mailing Address - Fax:
Practice Address - Street 1:8329 ARBOR STATION WAY
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-4919
Practice Address - Country:US
Practice Address - Phone:443-281-3689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty