MEDICARE: LIFEMED HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1629759378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEMED HEALTH LLC

Provider Business Mailing Address
First Line	:	4804 PAGE CREEK LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8582
Country	:	US
Telephone Number	:	919-249-7144
Fax Number	:

Provider Business Practice Location Address
First Line	:	4804 PAGE CREEK LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8582
Country	:	US
Telephone Number	:	919-249-7144
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	KEVIN BULLARD
Credential	:
Telephone Number	:	919-249-7144

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	07/26/2023

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Directions to “LIFEMED HEALTH LLC ” Practice Location

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