LIFELINE HEALTH CARE OF WARREN
NPI 1205860087
Home Health in Bowling Green, KY

Active since July 10, 2006CLIA 18D0985261 · Waiver
165 NATCHEZ TRACE AVENUE, SUITE 206, BOWLING GREEN, KY 42103(270) 781-0702(270) 781-8489 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Health Care Of Warren NPPES

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

LIFELINE HEALTH CARE OF WARREN (NPI 1205860087) is a healthcare organization registered as a home health in Bowling Green, Kentucky and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Nicholas Gachassin, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1205860087
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIFELINE HOME HEALTH CARE OF BOWLING GREEN, LLC
Location Address165 NATCHEZ TRACE AVENUE, SUITE 206Bowling Green, KY 42103-7947
Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 233-5764
Fax(270) 781-8489
Organization SubpartNo
Authorized OfficialNicholas GachassinExecutive Vice President · (337) 233-1307
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
NPI 1205860087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 150077 (KY)
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
165 NATCHEZ TRACE AVENUE, Bowling Green, KY 42103

Other Names 1

Doing Business AsLifeline Health Care Of Warren

Other Identifiers 5

Other000000503487KY · Anthem Blue Cross Blue Sh
Medicaid41000100KY
Medicaid45004447KY
Medicaid42000190KY
Medicaid7100000480KY

Accepted Insurance

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 18D0985261

Lifeline Home Health Care Of Bowling Green, LLC Dba Lifeline Health Care Of Warren · Bowling Green, KY
Active · expires Apr 11, 2027
CLIA Number18D0985261
Laboratory TypeHome Health Agency
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorMs. Jennifer Brooks
Laboratory Phone(270) 781-0702
Laboratory LocationLifeline Home Health Care Of Bowling Green, LLC Dba Lifeline Health Care Of Warren165 Natchez Trace Ave, Suite 206, Bowling Green, KY 42103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health Care Of Bowling Green, LLC's NPI number?

The NPI number for Lifeline Home Health Care Of Bowling Green, LLC is 1205860087. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Lifeline Health Care Of Warren.

Where is Lifeline Home Health Care Of Bowling Green, LLC located?

Lifeline Home Health Care Of Bowling Green, LLC is located at 165 Natchez Trace Avenue Suite 206, Bowling Green, KY 42103. The listed phone number is (270) 781-0702.

What is Lifeline Home Health Care Of Bowling Green, LLC's specialty?

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

Does Lifeline Home Health Care Of Bowling Green, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0985261) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifeline Home Health Care Of Bowling Green, LLC accept?

Health plans from UnitedHealthcare list Lifeline Home Health Care Of Bowling Green, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeline Home Health Care Of Bowling Green, LLC was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.