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Contact Information

LIFELINE NURSING AGENCY, INC.
5119 BRIARWOOD RD
WOODSTOCK, IL60098
 Phone: 224-888-8181
 Fax: 779-220-4178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for LIFELINE NURSING AGENCY, INC.

NPI # 1073008363
LBN Legal business name LIFELINE NURSING AGENCY, INC.
Authorized official KELLY WHISTLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2018
Last updated 09/02/2021 - About 5 years ago
Identifiers
IL License # 4000556
IL License # HF114153
IL Other 1073008363 BLUE CROSS BLUE SHIELD OF IL
IL Other 4000556 ILLINOIS DEPT OF PUBLIC HEALTH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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