Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Line Home Care Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1578630190

Life Line Home Care Inc is a Durable Medical Equipment & Medical Supplies in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3740 Saint Johns Bluff Rd S Ste 1
Jacksonville, FL 32224-2651
Phone: (904) 730-2202
Fax: (904) 730-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oxygen Equipment & Supplies (DME) (primary) Taxonomy 332BX2000X · Licence 324181 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 1312767 (FL)
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X · Licence 1312767 (FL)
Pharmacy Taxonomy 333600000X · Licence PH24359 (FL)
Compounding Pharmacy Taxonomy 3336C0004X · Licence PH24359 (FL)
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X · Licence PH24359 (FL)
Specialty Pharmacy Taxonomy 3336S0011X · Licence PH24359 (FL)

Record details

NPI number1578630190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronnie Daniel — President · (229) 382-1334
NPI enumeratedNovember 29, 2006
Last updated in NPPESSeptember 10, 2012
Mailing address1610 Madison Ave, Tifton, GA 31794-3756

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