MEDICARE: LIFESPAN HEALTH

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	:	1770460958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESPAN HEALTH

Provider Business Mailing Address
First Line	:	128 W MARION AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44507-1042
Country	:	US
Telephone Number	:	330-599-3525
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 W MARION AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44507-1042
Country	:	US
Telephone Number	:	330-599-3525
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROSCOE COLIN THURSTON
Credential	:
Telephone Number	:	330-599-3525

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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Directions to “LIFESPAN HEALTH ” Practice Location

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