# LIFELINE MEDCARE LLC

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

## Provider details

- **NPI number:** 1740150911
- **Authorized official:** MR. AHMAD HIJAZI (OWNER)
- **Authorized official phone:** (917) 525-2517

## Contact information

- **Practice address:** 145 S ALLEN ST, OFC 2, STATE COLLEGE, PA 16801-9998
- **Practice address phone:** (917) 525-2517
- **Mailing address:** 145 S ALLEN ST OFC 2, STATE COLLEGE, PA 16801-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2025
- **Last updated:** 02/02/2026