Organization
LIFE LINE HEALTH SERVICES
Active
Organization
LIFE LINE HEALTH SERVICES
Active
Other names
the Vitamin Lounge
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BENNETT LVN (CEO)
(707) 510-6625
Entity
Organization
Contact information
Practice address
312 N SCHOOL ST, UKIAH, CA 95482-4312
(707) 510-6625
(707) 868-6062
Mailing address
312 N SCHOOL ST, UKIAH, CA 95482-4312
(707) 510-6625
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
08/22/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up