Valley Ostomy Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0080136 Issued in TX

Legal business name

VALLEY OSTOMY SUPPLY, INC

Doing business as

Lifetime Health Services

Practice address

1138 E Expressway 83
Suite a
Pharr, TX 78577-6518

Phone

(956) 283-1253

Fax

(956) 781-4973

NPI assigned

Jan 11, 2007

Last updated

Feb 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cesar Ontiveros

Title

President

Phone

(956) 972-0244

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lifetime Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Lifetime Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Ostomy, Inc

  dba Lifetime Health Services

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
  • NPI 1477514339
  NPD tax ID

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1174673313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 E EXPRESSWAY 83",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776518",
            "telephone_number": "956-283-1253",
            "fax_number": "956-781-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 E EXPRESSWAY 83",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776518",
            "telephone_number": "956-283-1253",
            "fax_number": "956-781-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OSTOMY SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "ONTIVEROS",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-972-0244"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0080136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010181801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010181802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• V Ramco Inc (Principle Medical Supplies)
• Theresa Lynn Valladares, M.D.
• Valle de Palmas Adult Day Care Center's LLC
• Valle de Palmas Adult Day Care Centers LLC (Valle De Palmas ADC II)
• Valley Medical Supply LLC.
• Valley Scripts, LLC (Family Care Pharmacy 2)
• Valley Smiles, P.a.
• Valley Vascular Access Associates
• Valley View Independent School District
• Vamos Health Care 1 LTD (Vamos Home Health)

• Durable Medical Equipment & Medical Supplies in Pharr, TX
• Providers in Pharr, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.