Life Source Services LLC
NPI 1396707139 · Community Based Hospice Care Agency · Oradell, NJ
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Source Services LLC is a Community Based Hospice Care Agency organization in Oradell, NJ (NPI 1396707139).
Provider details
- NPI number
- 1396707139
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Irina Etinger, Cpa(303) 231-1412
- License
- 22933 (NJ)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2018-07-20
Frequently asked questions
- What is Life Source Services LLC's NPI number?
- Life Source Services LLC's National Provider Identifier (NPI) is 1396707139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Source Services LLC?
- Life Source Services LLC is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Life Source Services LLC located?
- Life Source Services LLC's practice location on file with NPPES is 700 Kinderkamack Rd Ste 105, Oradell, NJ 07649.
- What is Life Source Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Source Services LLC is (888) 865-5103.
- Does Life Source Services LLC accept Medicare?
- Life Source Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Source Services LLC?
- The authorized official listed on Life Source Services LLC's NPPES record is Irina Etinger, Cpa. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Source Services LLC's NPI active?
- Yes — Life Source Services LLC's NPI (1396707139) is active in the NPPES registry as of the last update on 2018-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.