MEDICARE: LIFESPACE COMMUNITIES INC

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	:	1003792102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESPACE COMMUNITIES INC

Provider Business Mailing Address
First Line	:	3501 OLYMPUS BLVD
Second Line	:	STE 300
City	:	DALLAS
State	:	TX
Zip	:	75019-6292
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 E LINTON BLVD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5028
Country	:	US
Telephone Number	:	561-272-7979
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	NICHOLAS HARSHFIELD
Credential	:
Telephone Number	:	515-288-5805

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “LIFESPACE COMMUNITIES INC ” Practice Location

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