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LIFELINE HOME HEALTHCARE LLC
NPI 1073400487
Home Health in Fort Wayne, IN

Active since June 19, 2025CLIA 15D2323144 · Waiver
6203 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 443-5102(260) 995-7222 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 30, 2026, Jun 19, 2025 (2 updates tracked since 2025).

About Lifeline Home Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELINE HOME HEALTHCARE LLC (NPI 1073400487) is a healthcare organization registered as a home health in Fort Wayne, Indiana and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Seandra Robinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073400487
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIFELINE HOME HEALTHCARE LLC
Location Address6203 CONSTITUTION DRFort Wayne, IN 46804-1517
Mailing Address6203 Constitution DrFort Wayne, IN 46804-1517 · (260) 443-5102 · Fax (260) 995-7222
Phone(260) 443-5102
Fax(260) 995-7222
Organization SubpartNo
Authorized OfficialSeandra RobinsonOwner · (260) 443-5102
Enumeration DateJune 19, 2025
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1073400487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
6203 CONSTITUTION DR, Fort Wayne, IN 46804
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Other Names 1

Doing Business AsLifeline Home Healthcare Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2323144

Lifeline Home Healthcare · Fort Wayne, IN
Active · expires Apr 30, 2027
CLIA Number15D2323144
Laboratory TypeHome Health Agency
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorSeandra M. Robinson
Laboratory Phone(260) 443-5102
Laboratory LocationLifeline Home Healthcare6319 Constitution Drive Suite A, Fort Wayne, IN 46804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL PSYCHIATRIC SERVICES, LLC
Psychiatry & Neurology (Psychiatry)
6203 CONSTITUTION DR
FORT WAYNE, IN 46804
Allen County (260) 969-9696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifeline Home Healthcare LLC's NPI number?

The NPI number for Lifeline Home Healthcare LLC is 1073400487. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Lifeline Home Healthcare LLC located?

Lifeline Home Healthcare LLC is located at 6203 Constitution Dr, Fort Wayne, IN 46804. The listed phone number is (260) 443-5102.

What is Lifeline Home Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Lifeline Home Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2323144) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifeline Home Healthcare LLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.