Organization Active NPI

Lifecare Inc

  • Durable Medical Equipment & Medical Supplies
  • Montclair, CA
National Provider Identifier
1104902790
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFECARE INC
Practice address
8900 Benson Ave
Suite E
Montclair, CA 91763-1669
Phone
(909) 982-2998
Fax
(909) 982-3688
NPI assigned
Oct 27, 2006
Last updated
May 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Eleanore Bartolome Aguiluz
Title
Ceo
Phone
(909) 982-2998

Specialties & licenses 1

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

Addresses

Primary practice location

8900 Benson Ave
Suite E
Montclair, CA 91763-1669

Mailing address

8900 Benson Ave
Suite E
Montclair, CA 91763-1669
Phone (909) 982-2998

National Provider Directory

National Provider Directory

Locations

3100 E Cedar St
Ste 11
Ontario, CA 91761
Phone (909) 982-2998

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1104902790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BENSON AVE",
            "address_2": "SUITE E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "telephone_number": "909-982-2998",
            "fax_number": "909-982-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 BENSON AVE",
            "address_2": "SUITE E",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631669",
            "telephone_number": "909-982-2998",
            "fax_number": "909-982-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "AGUILUZ",
        "authorized_official_first_name": "ELEANORE",
        "authorized_official_middle_name": "BARTOLOME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-982-2998"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.