MEDICARE: LIFELONG STRONG HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1851035554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFELONG STRONG HEALTH LLC

Provider Business Mailing Address
First Line	:	70 GREENE ST APT 603
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7585
Country	:	US
Telephone Number	:	347-515-4136
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 GREENE ST APT 603
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7585
Country	:	US
Telephone Number	:	347-515-4136
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. JAMES SINODINOS
Credential	:	PT, DPT
Telephone Number	:	347-515-4136

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	01/25/2023

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