Life Source Services LLC
Hospice Care, Community Based in Oradell, New Jersey
1396707139- Practice location
- 700 Kinderkamack RD Ste 105, Oradell, NJ 07649
- Phone
- 888-865-5103
- Fax
- 201-225-4769
- Last updated
- July 20, 2018
Life Source Services LLC is a healthcare organization based in Oradell, NJ. Life Source Services LLC practices in Oradell, NJ. The NPI Number for Life Source Services LLC is 1396707139 and holds a License No. 22933 (NJ). The current practice location address for Life Source Services LLC is 700 Kinderkamack RD Ste 105, Oradell, NJ 07649 and can be reached out via phone at 888-865-5103 and via fax at 201-225-4769.
Provider Profile Details
- NPI Number
- 1396707139
- Provider Name
- Life Source Services LLC
- Provider Entity Type
- Organization
- Address
- 700 Kinderkamack RD Ste 105, Oradell, NJ 07649
- Phone Number
- 888-865-5103
- Fax Number
- 201-225-4769
- Primary Taxonomy
- Hospice Care, Community Based · 251G00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Irina Etinger · Cpa · 303-231-1412
- Provider Enumeration Date
- April 5, 2006
- Last Update Date
- July 20, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 700 Kinderkamack RD Ste 105
Oradell, NJ 07649 - City
- Oradell
- State
- New Jersey
- Zip
- 07649
- Phone Number
- 888-865-5103
- Fax Number
- 201-225-4769
Provider Business Mailing Address Details
- Address
- 245 S Benton St
Lakewood, CO 80226-2453 - City
- Lakewood
- State
- CO
- Zip
- 80226-2453
- Phone Number
- 303-231-1203
- Fax Number
- 303-234-0124
License Information
- License Number
- 22933
- License State
- NJ
- Taxonomy
- Hospice Care, Community Based · 251G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Life Source Services LLC?
The NPI number of Life Source Services LLC is 1396707139. It was assigned on April 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Life Source Services LLC?
Life Source Services LLC is registered under the primary taxonomy Hospice Care, Community Based (code 251G00000X), licensed in NJ under license number 22933.
Where does Life Source Services LLC practice?
The practice location is 700 Kinderkamack RD Ste 105, Oradell, NJ 07649. The office can be reached at 888-865-5103 (phone) or 201-225-4769 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396707139 directly on the NPPES registry website.