Provider Demographics
NPI:1124912696
Name:LIFE LINK HOME CARE LLC
Entity type:Organization
Organization Name:LIFE LINK HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NNEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OZIOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-672-8144
Mailing Address - Street 1:2004 AUSTIN RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-1860
Mailing Address - Country:US
Mailing Address - Phone:919-672-8144
Mailing Address - Fax:
Practice Address - Street 1:1327 N BRIGHTLEAF BLVD STE H
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-7263
Practice Address - Country:US
Practice Address - Phone:919-672-8144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care