LIFE CARE PHYSICIAN SERVICES, LLC
NPI 1770807919
Family Medicine - Geriatric Medicine in Cleveland, TN

Active since March 17, 2010
3570 KEITH ST NW, CLEVELAND, TN 37312(423) 473-5026(423) 339-8323 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2021, Sep 17, 2021, Jul 22, 2021 (3 updates tracked since 2021).

About Life Care Physician Services, Llc NPPES

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

LIFE CARE PHYSICIAN SERVICES, LLC (NPI 1770807919) is a healthcare organization registered as a geriatric medicine in Cleveland, Tennessee and active in the NPI registry since March 2010. The organization lists Cindy S Cross, Asst. Secretary, as its authorized official.

NPPES Registry Identity

NPI1770807919
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLIFE CARE PHYSICIAN SERVICES, LLC
Location Address3570 KEITH ST NWCleveland, TN 37312-4309
Mailing Address3570 Keith St NwCleveland, TN 37312-4309 · (423) 473-5026 · Fax (423) 339-8323
Fax(423) 339-8323
Organization SubpartNo
Authorized OfficialCindy S CrossAsst. Secretary · (423) 473-5867
Enumeration DateMarch 17, 2010
Last NPPES UpdateOctober 20, 20213 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1770807919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
3570 KEITH ST NW, Cleveland, TN 37312

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Care Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20110419000092Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Life Care Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice11
Nurse Practitioner8
Internal Medicine7
Geriatric Medicine3
General Practice2

Nearest to this location (20)

See all 31
Nurse Practitioner
NPI 1326445420
3001 KEITH ST NW
Cleveland, TN 37312
(423) 473-5027
✔ PECOS0.6 mi
Geriatric Medicine
NPI 1902043771
989 ORIENTA AVE
Altamonte Springs, FL 32701
(407) 260-0166
✔ PECOS✔ Accepts Medicare495 mi
Family Practice
NPI 1831194950
815 FREMONT AVE
Fort Morgan, CO 80701
(970) 867-8261
✔ PECOS✔ Accepts Medicare1,092 mi
Family Practice
NPI 1295897528
14101 E EVANS AVE
Aurora, CO 80014
(303) 751-2000
✔ PECOS1,138 mi
Internal Medicine
NPI 1477620946
14101 E EVANS AVE
Aurora, CO 80014
(303) 751-2000
✔ PECOS✔ Accepts Medicare1,138 mi
Nurse Practitioner
NPI 1114492535
2600 S PARKER RD # 120
Aurora, CO 80014
(303) 343-9500
✔ PECOS✔ Accepts Medicare1,140 mi
Family Practice
NPI 1720128820
2550 S PARKER RD
Aurora, CO 80014
(303) 338-4545
✔ PECOS1,140 mi
Internal Medicine
NPI 1316960347
1445 DAYTON ST DAWN CLINIC
Aurora, CO 80010
(303) 800-9677
✔ PECOS✔ Accepts Medicare1,141 mi
Internal Medicine
NPI 1861470478
4800 W 25TH ST
Greeley, CO 80634
(970) 330-6400
✔ PECOS✔ Accepts Medicare1,144 mi
General Practice
NPI 1780632133
1440 VINE ST
Denver, CO 80206
(303) 399-0350
✔ PECOS1,146 mi
Geriatric Medicine
NPI 1174679757
499 E HAMPDEN AVE STE 100 SENIOR CARE OF COLORADO
Englewood, CO 80113
(303) 306-4321
✔ PECOS✔ Accepts Medicare1,146 mi
Family Practice
NPI 1700866837
7751 ZENOBIA CT
Westminster, CO 80030
(303) 412-9121
✔ PECOS1,152 mi
General Practice
NPI 1548473630
215 S WADSWORTH BLVD STE 420
Lakewood, CO 80226
(720) 722-3635
✔ PECOS1,152 mi
Nurse Practitioner
NPI 1932471133
4003 RAWLINS ST
Cheyenne, WA 82001
(307) 638-8975
✔ PECOS1,156 mi
Nurse Practitioner
NPI 1063979003
1331 PRAIRIE AVE STE 2
Cheyenne, WY 82009
(307) 778-3121
✔ PECOS✔ Accepts Medicare1,158 mi
Internal Medicine
NPI 1740339159
214 E 23RD ST
Cheyenne, WY 82001
(307) 634-2273
✔ PECOS✔ Accepts Medicare1,158 mi
Nurse Practitioner
NPI 1922593037
1330 PRAIRIE AVE
Cheyenne, WY 82009
(307) 778-8997
✔ PECOS✔ Accepts Medicare1,158 mi
Family Practice
NPI 1518278084
1330 PRAIRIE AVE
Cheyenne, WY 82009
(307) 778-8997
✔ PECOS✔ Accepts Medicare1,158 mi
Geriatric Medicine
NPI 1831161108
2451 PRATT ST
Longmont, CO 80501
(303) 776-5000
✔ PECOS1,159 mi
Nurse Practitioner
NPI 1831660430
1700 WESTLAND RD
Cheyenne, WY 82001
(307) 632-8064
✔ PECOS1,159 mi
See all 31 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Life Care Physician Services, LLC's NPI number?

The NPI number for Life Care Physician Services, LLC is 1770807919. It was assigned to this organization in the NPPES registry on March 17, 2010.

Where is Life Care Physician Services, LLC located?

Life Care Physician Services, LLC is located at 3570 Keith St NW, Cleveland, TN 37312. The listed phone number is (423) 473-5026.

What is Life Care Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Life Care Physician Services, LLC enrolled in Medicare?

Yes. Life Care Physician Services, LLC is registered in the Medicare PECOS enrollment system.

When is Life Care Physician Services, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Life Care Physician Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 5 Medicare specialties reassign their Medicare billing to Life Care Physician Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (11), Nurse Practitioner (8) and Internal Medicine (7). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life Care Physician Services, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Kansas, Inc., Cigna Healthcare and HMSA list Life Care Physician Services, 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 Life Care Physician Services, LLC was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.