Organization Active NPI

Lifeline Scooters

  • Durable Medical Equipment & Medical Supplies
  • Whitehouse, TX
National Provider Identifier
1013062116
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFELINE SCOOTERS
Practice address
508-D Hwy 110 N.
Whitehouse, TX 75791
Phone
(903) 839-5311
NPI assigned
Jan 25, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virgil G Williams
Title
Owner
Phone
(903) 839-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

508-D Hwy 110 N.
Whitehouse, TX 75791

Mailing address

508-D Hwy 110 N.
Whitehouse, TX 75791

Other identifiers 1

IdentifierTypeStateIssuer
163684702MedicaidTX

National Provider Directory

National Provider Directory

Locations

508 Highway 110 N
Ste D
Whitehouse, TX 75791
Phone (903) 839-5311

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1013062116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508-D HWY 110 N.",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "75791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508-D HWY 110 N.",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "75791",
            "telephone_number": "903-839-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE SCOOTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-839-5311"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163684702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.