Organization Active NPI

Nulife Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1063287308
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NULIFE MEDICAL SUPPLY, LLC
Practice address
6000 S Eastern Ave Ste 4E
Las Vegas, NV 89119-3101
Phone
(702) 840-5343
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Andrew Pierce
Title
Agent
Phone
(702) 840-5343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

6000 S Eastern Ave Ste 4E
Las Vegas, NV 89119-3101

Mailing address

6000 S Eastern Ave Ste 4E
Las Vegas, NV 89119-3101
Phone (702) 840-5343

National Provider Directory

National Provider Directory

Locations

6000 S Eastern Ave
Ste 4E
Las Vegas, NV 89119
Phone (702) 840-5343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1063287308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S EASTERN AVE STE 4E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193101",
            "telephone_number": "702-840-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S EASTERN AVE STE 4E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193101",
            "telephone_number": "702-840-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "702-840-5343"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.