MEDICARE: LIFELINE HEALTH & LIVING SOLUTIONS, 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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1598615569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFELINE HEALTH & LIVING SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	3512 BROADWAY ST APT 305
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77581-4332
Country	:	US
Telephone Number	:	832-292-0112
Fax Number	:

Provider Business Practice Location Address
First Line	:	3512 BROADWAY ST APT 305
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77581-4332
Country	:	US
Telephone Number	:	832-292-0112
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MS. SCHWANNA DIONNE JONES
Credential	:
Telephone Number	:	832-292-0112

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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