LIFE SPAN HOME, INC
NPI 1942698790
Home Health in Fair Oaks, CA

Active since January 02, 2015
4041 BRIDGE STREET, FAIR OAKS, CA 95628(916) 965-0110(916) 965-0102 Get Directions Write a Review

NPPES record last updated: January 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Span Home, Inc NPPES

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

LIFE SPAN HOME, INC (NPI 1942698790) is a healthcare organization registered as a home health in Fair Oaks, California and active in the NPI registry since January 2015. The organization lists Elizabeth Southorn, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942698790
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIFE SPAN HOME, INC
Location Address4041 BRIDGE STREETFair Oaks, CA 95628
Mailing Address4041 Bridge StreetFair Oaks, CA 95628 · (916) 965-0110 · Fax (916) 965-0102
Fax(916) 965-0102
Organization SubpartNo
Authorized OfficialElizabeth SouthornExecutive Director · (916) 965-0110
Enumeration DateJanuary 2, 2015
NPI 1942698790 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.
4041 BRIDGE STREET, Fair Oaks, CA 95628

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 Span Home, Inc's NPI number?

The NPI number for Life Span Home, Inc is 1942698790. It was assigned to this organization in the NPPES registry on January 2, 2015.

Where is Life Span Home, Inc located?

Life Span Home, Inc is located at 4041 Bridge Street, Fair Oaks, CA 95628. The listed phone number is (916) 965-0110.

What is Life Span Home, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Life Span Home, Inc was last updated on January 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.