Life Guard Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

LIFE GUARD INC.

Practice address

204 W Main St
Kingwood, WV 26537-1419

Phone

(304) 329-0622

Fax

(304) 329-0522

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jonluc Tyrone Harris

Title

Vice President

Phone

(304) 834-5370

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Preston Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Life Guard Inc

  • Durable Medical Equipment & Medical Supplies
  • Saint Marys, WV
  • NPI 1992728208

  3375660541

  Same PAC ID
• Life Guard Inc.

  • Oxygen Equipment & Supplies (DME)
  • Spencer, WV
  • NPI 1912068180

  3375660541

  Same PAC ID

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1043439276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371419",
            "telephone_number": "304-329-0622",
            "fax_number": "304-329-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371419",
            "telephone_number": "304-329-0622",
            "fax_number": "304-329-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Price St",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371424",
            "country_code": "US",
            "telephone_number": "304-329-0622",
            "fax_number": "304-329-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE GUARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JONLUC",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-834-5370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009478",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preston Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preston Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Layton, AGACNP-BC
• Teresa Elizabeth Layton
• Dina Kay Lefebvre, RN
• Les E. Nicholson D.D.S. Inc.
• Pamela Lewis
• Emily Paige Livengood
• Katlyn Logsdon, PHARMD
• Jeanette Adriana Love, SLP
• Tammy Renee Lowdermilk
• Michael A. Lowery, R.PH.

• Oxygen Equipment & Supplies (DME) in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Oxygen Equipment & Supplies (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.