MEDICARE: LIFEPATH HOME HEALTH CARE, 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	002902	UT

General Provider Information

NPI Number	:	1861492332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEPATH HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	491 WILLIAMSON ROAD,
Second Line	:	SUITE 204
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-9252
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:	801-263-9929

Provider Business Practice Location Address
First Line	:	5801 FASHION BLVD.
Second Line	:	SUITE 220
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-6159
Country	:	US
Telephone Number	:	801-293-0444
Fax Number	:	801-263-9929

Authorized Official
Title or Position	:	SECRETARY AND GENERAL COUNSEL
Name	:	DOUGLAS J. ABELL
Credential	:
Telephone Number	:	704-664-2876

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	08/29/2012

Similar Medicare Providers

1508962085 — SUNBROOK HOSPICE, LLC
Practice Location Address:

5801 FASHION BLVD. , SUITE 290
SALT LAKE CITY, UT
84107-6159

Practice Phone: 801-254-5722
Practice Fax: 801-446-8981

1689819146 — DR. JAMES LEO MCGAULEY MD
Practice Location Address:

8884 ALPEN WAY
SALT LAKE CITY, UT
84121-6159

Practice Phone: 801-580-7071
Practice Fax:

1700336104 — MRS. DEBORAH DIAN PERKINS D.C.
Practice Location Address:

6159 CHARLOTTE ST
KANSAS CITY, MO
64110-3309

Practice Phone: 816-456-4615
Practice Fax:

1043674872 — SAGE DENTAL OF LAKE MARY PLLC
Practice Location Address:

3801 W LAKE MARY BLVD , SUITE 111
LAKE MARY, FL
32746-6159

Practice Phone: 407-936-3400
Practice Fax: 561-431-8169

1093474025 — NIGHT LITE PEDIATRIC CENTER, LLC
Practice Location Address:

3801 W LAKE MARY BLVD
LAKE MARY, FL
32746-6159

Practice Phone: 407-585-0568
Practice Fax:

1750191623 — OUR GOLDEN LIFE LLC
Practice Location Address:

11944 BENTON LAKE RD
BRISTOW, VA
20136-6159

Practice Phone: 240-522-7437
Practice Fax:

Directions to “LIFEPATH HOME HEALTH CARE, 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 © 2007-2026 (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.