Life Quest Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HMEL11046 Issued in OH

Legal business name

LIFE QUEST MEDICAL SUPPLY INC

Practice address

24820 Lakeland Blvd
Euclid, OH 44132

Phone

(216) 731-1250

Fax

(216) 731-1298

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Joseph Smolik

Title

Owner

Phone

(216) 731-1250

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Life Quest Home Medical Inc2 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.

• Life Quest Home Medical Inc

  • Customized Equipment (DME)
  • Wickliffe, OH
  • NPI 1801910955
  NPD tax ID

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1245388669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24820 LAKELAND BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-731-1250",
            "fax_number": "216-731-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24820 LAKELAND BLVD",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-731-1250",
            "fax_number": "216-731-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUEST MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SMOLIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-731-1250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL11046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09890003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Anew Behavioral Health, Inc
• Life Anew Home Health
• Life Change Institute
• Life Changing Care LLC
• Life Changing Care LLC
• Antoinette Ligon
• Limitless Care
• Rochelle Tammy Linder I
• Chrystal Lipford
• Bonnie Lynn Lisch

• Durable Medical Equipment & Medical Supplies in Euclid, OH
• Providers in Euclid, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.