Healthcare Provider Details

I. General information

NPI: 1639957210
Provider Name (Legal Business Name): LIFESTYLE HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LAFAYETTE BLVD STE 1113
BRIDGEPORT CT
06604-4725
US

IV. Provider business mailing address

4240 HUTCHINSON RIVER PKWY E APT 8E
BRONX NY
10475-4762
US

V. Phone/Fax

Practice location:
  • Phone: 475-374-0966
  • Fax: 914-206-3605
Mailing address:
  • Phone: 646-341-7494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL APPIAH
Title or Position: CEO
Credential:
Phone: 646-341-7494