Provider Demographics
NPI:1447683560
Name:LIFELINE HOME HEALTH, INC.
Entity type:Organization
Organization Name:LIFELINE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:408-941-2045
Mailing Address - Street 1:75 S MILPITAS BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5467
Mailing Address - Country:US
Mailing Address - Phone:408-941-2045
Mailing Address - Fax:408-941-2134
Practice Address - Street 1:75 S MILPITAS BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5467
Practice Address - Country:US
Practice Address - Phone:408-941-2045
Practice Address - Fax:408-941-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health