# LIFELINE HEAVENLY HOME CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1740166214
- **Authorized official:** SEANDRA ROBINSON RN (CEO)
- **Authorized official phone:** (260) 804-0221

## Contact information

- **Practice address:** 6319 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
- **Practice address phone:** (260) 804-0221
- **Practice address fax:** (502) 805-0477
- **Mailing address:** 6319 CONSTITUTION DR, FORT WAYNE, IN 46804-1547
- **Mailing address phone:** (260) 804-0221
- **Mailing address fax:** (502) 805-0477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 08/12/2025