Life Line Home Care Inc is a Specialty Pharmacy based in Tifton, GA and is specialized in Specialty Pharmacy. Life Line Home Care Inc practices in Tifton, GA. The NPI Number for Life Line Home Care Inc is 1528026226 and holds a License No. PHRE007390 (Georgia).
The current practice location address for Life Line Home Care Inc is 1610 Madison Ave, Tifton, GA and can be reached out via phone at 229-382-1334 and via fax at 229-382-1350.
Location: 1610 Madison Ave, Tifton, GA, 31794-3756
Provider Profile Details
NPI Number
1528026226
Provider Name
Life Line Home Care Inc
Credential
Provider Entity Type
Organization
Address
1610 Madison Ave, Tifton, GA, 31794-3756
Phone Number
229-382-1334
Fax Number
229-382-1350
Provider Enumeration Date
05/02/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00494337B | 05 | GA | |
| 00494337A | 05 | GA | |
| 1148243 | 01 | GA | NABP |
Provider Business Practice Location Address Details
Address
1610 Madison Ave
City
State
Zip
31794-3756
Phone Number
229-382-1334
Fax Number
229-382-1350
Provider Business Mailing Address Details
Address
1610 Madison Ave
City
State
Zip
31794-3756
Phone Number
229-382-1334
Fax Number
229-382-1350
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
PH18569 (Florida)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
322562 (Florida)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
PHRE007390 (Georgia)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
1370 (Florida)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
PHRE007390 (Georgia)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
1370 (Florida)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
PHRE007390 (Georgia)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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