1023107281 NPI number — LIFELINE SYSTEMS COMPANY

Table of content: (NPI 1023107281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023107281 NPI number — LIFELINE SYSTEMS COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIFELINE SYSTEMS COMPANY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LIFELINE
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023107281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 DONALD LYNCH BLVD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARLBOROUGH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01752-4816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-988-1000
Provider Business Mailing Address Fax Number:
888-565-3577

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 DONALD LYNCH BLVD STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARLBOROUGH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01752-4816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-988-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FITZGERALD
Authorized Official First Name:
DAWN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, CONTRACTS AND COMPLIANCE
Authorized Official Telephone Number:
508-988-1132

Provider Taxonomy Codes

  • Taxonomy code: 146D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 171W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010502023 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200043750A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 772683 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 04142063 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 047W199 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100315030A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1536249 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 182859 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200406460A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 806881900 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01293961 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30009079 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001740680 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 118489000 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 752801900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: DE2531 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0975821 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 134814100 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 676963205 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: LI81049 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".




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