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4LIFE HOME HEALTH SERVICES LLC
NPI 1891487500
Home Health in Grand Prairie, TX

Active since May 22, 2023CLIA 45D2302557 · Waiver
1106 N STATE HIGHWAY 360 STE 220, GRAND PRAIRIE, TX 75050(682) 321-7002(682) 321-7028 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Dec 15, 2023, May 22, 2023 (3 updates tracked since 2023).

About 4life Home Health Services Llc NPPES

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

4LIFE HOME HEALTH SERVICES LLC (NPI 1891487500) is a healthcare organization registered as a home health in Grand Prairie, Texas and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Adeleye Adekola, Owner/president/secretary, as its authorized official.

NPPES Registry Identity

NPI1891487500
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business Name4LIFE HOME HEALTH SERVICES LLC
Location Address1106 N STATE HIGHWAY 360 STE 220Grand Prairie, TX 75050-2511
Mailing Address1106 N State Highway 360 Ste 220Grand Prairie, TX 75050-2511 · (682) 321-7002 · Fax (682) 321-7028
Phone(682) 321-7002
Fax(682) 321-7028
Organization SubpartNo
Authorized OfficialAdeleye AdekolaOwner/president/secretary · (347) 909-5884
Enumeration DateMay 22, 2023
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1891487500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedIn Home Supportive CareTaxonomy 253Z00000X
1106 N STATE HIGHWAY 360 STE 220, Grand Prairie, TX 75050
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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 45D2302557

4life Home Health Services LLC · Grand Prairie, TX
Active · expires Apr 10, 2028
CLIA Number45D2302557
Laboratory TypeHome Health Agency
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorTimothy Kimuyu
Laboratory Phone(682) 321-7002
Laboratory Location4life Home Health Services LLC1106 N State Hwy 360 Ste 220, Grand Prairie, TX 75050
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 4life Home Health Services LLC's NPI number?

The NPI number for 4life Home Health Services LLC is 1891487500. It was assigned to this organization in the NPPES registry on May 22, 2023.

Where is 4life Home Health Services LLC located?

4life Home Health Services LLC is located at 1106 N State Highway 360 Ste 220, Grand Prairie, TX 75050. The listed phone number is (682) 321-7002.

What is 4life Home Health Services LLC's specialty?

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

Does 4life Home Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2302557) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 4life Home Health Services LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.