Active NPI
Lifeline Scooters
- Durable Medical Equipment & Medical Supplies
- Whitehouse, TX
National Provider Identifier
1013062116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163684702 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.