Lifestyle Hospice Foundation, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NPC-0003805 Issued in OR

Legal business name

LIFESTYLE HOSPICE FOUNDATION, INC.

Doing business as

Lifestyle Home Medical Supply

Practice address

2390 SW 4TH Ave
Ontario, OR 97914-1852

Phone

(541) 216-6468

Fax

(541) 216-6469

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Leland Kent Fife, M.S.

Title

Executive Director

Phone

(541) 216-6468

Specialties & licenses 2

Addresses

Other names 1

• Lifestyle Home Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1235497710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141852",
            "telephone_number": "541-216-6468",
            "fax_number": "541-216-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141852",
            "telephone_number": "541-216-6468",
            "fax_number": "541-216-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE HOSPICE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-216-6468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "NPC-0003805",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OR",
            "license": "NPC-0003805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Home Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Larcade
• Kylie Elizabeth Larsen
• Chris E Lattimer, CHW
• Eric John Leitzinger II
• Alison Levanger, PHARMD
• Lifeways, Inc
• Lifeways, Inc
• Lifeways, Inc
• Jean Elizabeth Lindley Oakes, RPT
• Christopher Liu

• Durable Medical Equipment & Medical Supplies in Ontario, OR
• Providers in Ontario, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.