Active NPI
Lingerie Line LLC
- Customized Equipment (DME)
- San Antonio, TX
National Provider Identifier
1013909308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- LINGERIE LINE LLC
- Practice address
- 8209 Roughrider Dr
Suite 102
San Antonio, TX 78239-2434 - Phone
- (210) 656-4090
- Fax
- (210) 946-5471
- NPI assigned
- Aug 22, 2005
- 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
- Mrs. Linda B Ramirez
- Title
- Owner
- Phone
- (210) 656-4090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
8209 Roughrider Dr
Suite 102
San Antonio, TX 78239-2434
Mailing address
PO Box 18301
San Antonio, TX 78218-0301
Phone (210) 656-4090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530034 | Other | TX | BLUE CROSS BLUE SHIELD |
| 011042101 | Medicaid | TX | |
| 011042102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930073047 | TX | DME Supplier - Medical Supply Company | 8224234638 | Practice locations: San Antonio, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lingerie Line LLC | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
8209 Roughrider Dr
Ste 102
Windcrest, TX 78239
Phone (210) 656-4090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677110400000",
"number": "1013909308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18301",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782180301",
"telephone_number": "210-656-4090",
"fax_number": "210-946-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8209 ROUGHRIDER DR",
"address_2": "SUITE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782392434",
"telephone_number": "210-656-4090",
"fax_number": "210-946-5471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINGERIE LINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-22",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-656-4090",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "530034",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011042101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011042102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.