Organization
LIFELINE HEALTH CARE, INC.
Active
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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