Organization
LIFELINE HEALTH CARE, INC.
Active
Other names
Lifeline Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T. WILSON (CEO)
(606) 679-4100
Entity
Organization
Contact information
Practice address
600 1/2 CLIFTY STREET, SOMERSET, KY 42503
(606) 679-9245
(606) 678-9273
Mailing address
600 CLIFTY ST, SOMERSET, KY 42503-1733
(606) 679-4100
(606) 678-7306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34011015
—
KY
05
—
41100017
—
KY
05
—
42010025
—
KY
05
—
45340023
—
KY
Enumeration date
07/09/2006
Last updated
09/11/2025
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