# LIFELINE HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326273012
- **Authorized official:** MR. ALFEO PADILLA RN (ADMINISTRATOR)
- **Authorized official phone:** (630) 359-4666

## Contact information

- **Practice address:** 15 E PARK BLVD, STE. 1M, VILLA PARK, IL 60181-2984
- **Practice address phone:** (630) 359-4666
- **Practice address fax:** (630) 501-0554
- **Mailing address:** 15 E PARK BLVD, STE. 1M, VILLA PARK, IL 60181-2984
- **Mailing address phone:** (630) 359-4666
- **Mailing address fax:** (630) 501-0554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010999 | IL | Yes |

## Other

- **Enumeration date:** 05/25/2009
- **Last updated:** 10/20/2014