MEDICARE: LIFE CHANGER HEALTH SERVICES 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	:	1447883038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE CHANGER HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2509 SENATOR AVE
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-3359
Country	:	US
Telephone Number	:	301-675-1283
Fax Number	:

Provider Business Practice Location Address
First Line	:	2509 SENATOR AVE
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-3359
Country	:	US
Telephone Number	:	301-675-1283
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	DR. AUGUSTUS DEE ROBERTS, SR.
Credential	:
Telephone Number	:	301-675-1283

Provider Enumeration Date	:	02/21/2020
Last Update Date	:	02/21/2020

Similar Medicare Providers

1841966199 — JODY M SARKINEN RN
Practice Location Address:

4446 ARTHUR ST NE
COLUMBIA HEIGHTS, MN
55421-3359

Practice Phone: 763-788-4446
Practice Fax:

1669336319 — SHUTINA ELIZA FERGUSON
Practice Location Address:

1732 ADDISON RD S
DISTRICT HEIGHTS, MD
20747-1569

Practice Phone: 202-961-0251
Practice Fax:

1417810102 — MRS. RONNITTA ERICA MILES
Practice Location Address:

7211 FLAG HARBOR DR
DISTRICT HEIGHTS, MD
20747-1542

Practice Phone: 202-604-6211
Practice Fax:

1821095795 — MICKEY O MILLS M.D.
Practice Location Address:

6400 MARLBORO PIKE , UPPER LEVEL
DISTRICT HEIGHTS, MD
20747

Practice Phone: 301-736-7000
Practice Fax: 301-736-6916

1831181759 — DR. EDITH M. RAYFIELD M.D.
Practice Location Address:

6400 MARLBORO PIKE
DISTRICT HEIGHTS, MD
20747-2841

Practice Phone: 301-736-7000
Practice Fax: 301-736-6916

1144218538 — DAVID DRUGS INC
Practice Location Address:

6110 OLD SILVER HILL RD
DISTRICT HEIGHTS, MD
20747-2111

Practice Phone: 301-735-7700
Practice Fax: 301-735-9120

Directions to “LIFE CHANGER HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.