NPIMap

Organization Active NPI

Lifestyle Scooters, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
National Provider Identifier
1033440797
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
69000668A Issued in IN
Legal business name
LIFESTYLE SCOOTERS, INC.
Practice address
8814 Southeastern Ave
Indianapolis, IN 46239-1341
Phone
(317) 862-2870
Fax
(317) 862-2886
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mr. Jeffrey Dean Shelley
Title
President
Phone
(317) 862-2870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 69000668A IN Primary

Addresses

Primary practice location

8814 Southeastern Ave
Indianapolis, IN 46239-1341

Mailing address

8814 Southeastern Ave
Indianapolis, IN 46239-1341
Phone (317) 862-2870

Other identifiers 1

IdentifierTypeStateIssuer
200984760AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1651 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 358-2214

8814 Southeastern Ave
Indianapolis, IN 46239
Phone (317) 862-2870

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1033440797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 SOUTHEASTERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462391341",
            "telephone_number": "317-862-2870",
            "fax_number": "317-862-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8814 SOUTHEASTERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462391341",
            "telephone_number": "317-862-2870",
            "fax_number": "317-862-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE SCOOTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-862-2870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69000668A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200984760A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.