Lifecare Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFECARE MEDICAL, INC.

Practice address

707 Parkway St
Ste. 101
Conway, AR 72034-5340

Phone

(501) 764-0976

Fax

(501) 764-0990

NPI assigned

Feb 18, 2008

Last updated

Nov 23, 2009By 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

James Carroll Cooper

Title

President

Phone

(501) 764-0976

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1184892648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11770",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340031",
            "telephone_number": "501-764-0976",
            "fax_number": "501-764-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PARKWAY ST",
            "address_2": "STE. 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345340",
            "telephone_number": "501-764-0976",
            "fax_number": "501-764-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-764-0976"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167958716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Lewis, M.S. OTR L
• Robert W Lewis, P.D.
• Sylvia Lewis, QBHP
• Lexington Place Healthcare and Rehabilitation,LLC
• Zhengzhuo Li, MD
• Lighted Path PLLC
• Christine Lightfoot
• Kimberly Liley, COTA
• Leah Lillich, M.S., CCC-SLP
• Christine R Lin, MS LPE

• Durable Medical Equipment & Medical Supplies in Conway, AR
• Providers in Conway, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.