Active NPI
Lifecare Inc
- Durable Medical Equipment & Medical Supplies
- Montclair, CA
National Provider Identifier
1104902790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2009
- 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
- Eleanore Bartolome Aguiluz
- Title
- Ceo
- Phone
- (909) 982-2998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.