Organization Active NPI

Lifecare Solutions Inc

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1114938925
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
54970 Issued in CA
Legal business name
LIFECARE SOLUTIONS INC
Practice address
4741 W Shaw Ave
Suite 101
Fresno, CA 93722
Phone
(559) 252-0214
Fax
(559) 456-3350
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
William Keys
Title
Ceo
Phone
(480) 446-9010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 54970 CA Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 54970 CA

Addresses

Primary practice location

4741 W Shaw Ave
Suite 101
Fresno, CA 93722

Mailing address

PO Box 40700
Mesa, AZ 85274-0700
Phone (866) 260-2230

Other identifiers 1

IdentifierTypeStateIssuer
1114938925MedicaidCA

National Provider Directory

National Provider Directory

Locations

4741 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 252-0214

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1114938925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "866-260-2230",
            "fax_number": "858-444-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 W SHAW AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93722",
            "telephone_number": "559-252-0214",
            "fax_number": "559-456-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "54970",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "54970",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114938925",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.