LIFESTAR CASE MANAGEMENT SERVICES, INC – Case Management Agency, NPI 1174816920
Case Management Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LIFESTAR CASE MANAGEMENT SERVICES, INC
4145 SW 190TH AVE
MIRAMAR, FL 330292760
Phone: (786) 303-5079
Type: Mailing
10550 NW 77TH CT # 313-314
HIALEAH GARDENS, FL 330167084
Phone: (305) 825-4320
Fax: (305) 825-8711
Type: Location
3414 W 84TH ST STE D110
HIALEAH, FL 330184932
Phone: (305) 825-4320
Fax: (305) 825-8117
Type: Mailing
5590 W 20TH AVE STE 400-401
HIALEAH, FL 330167070
Phone: (305) 825-4320
Fax: (305) 825-8117
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-04-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220420003102 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33029)
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