Organization Active NPI

Lifestar Medical Equipment. LLC

  • Durable Medical Equipment & Medical Supplies
  • Hartsville, SC
National Provider Identifier
1013170349
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFESTAR MEDICAL EQUIPMENT. LLC
Practice address
1830 S 5TH St
Hartsville, SC 29550-5759
Phone
(843) 857-3910
Fax
(843) 857-3911
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mrs. Tasia Lynn Pike
Title
Owner
Phone
(843) 857-3910

Specialties & licenses 1

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

Addresses

Primary practice location

1830 S 5TH St
Hartsville, SC 29550-5759

Mailing address

1830 S 5TH St
Hartsville, SC 29550-5759
Phone (843) 857-3910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1013170349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S 5TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505759",
            "telephone_number": "843-857-3910",
            "fax_number": "843-857-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S 5TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505759",
            "telephone_number": "843-857-3910",
            "fax_number": "843-857-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR MEDICAL EQUIPMENT. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "TASIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-857-3910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.