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NPI Code Detail

MEDICARE: LIFEVIEW HOMECARE SERVICES LLC

MEDICARE: LIFEVIEW HOMECARE 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
1251E00000XHome Health Agency
2251J00000XNursing Care Agency
3342000000XTransportation Network Company
43747P1801XPersonal Care Attendant
5253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1700436672
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFEVIEW HOMECARE SERVICES LLC
Provider Business Mailing Address
First Line : 13450 INWOOD RD STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75244-5324
Country : US
Telephone Number : 469-716-4297
Fax Number :
Provider Business Practice Location Address
First Line : 13450 INWOOD RD STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75244-5324
Country : US
Telephone Number : 469-716-4297
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : ANGEL JALLICE
Credential : REGISTERED NURSE
Telephone Number : 469-716-4297
Provider Enumeration Date : 09/12/2019
Last Update Date : 11/07/2024

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Directions to “LIFEVIEW HOMECARE SERVICES LLC ” Practice Location

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