Life Supply Corporatiion

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

MA0085173 Issued in MA

Legal business name

LIFE SUPPLY CORPORATIION

Practice address

299 Carew St
Unit 134
Springfield, MA 01104-2301

Phone

(413) 737-5555

Fax

(413) 214-7323

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Joseph Smith

Title

Ceo President

Phone

(203) 239-1002

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Technical Gas Products Inc

  • Oxygen Equipment & Supplies (DME)
  • Hopkinton, MA
  • NPI 1588706824

  Member Of

  NPD member

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1245453984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MOODY ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561244",
            "telephone_number": "413-593-5555",
            "fax_number": "413-593-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST",
            "address_2": "UNIT 134",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042301",
            "telephone_number": "413-737-5555",
            "fax_number": "413-214-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPLY CORPORATIION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "203-239-1002"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MA",
            "license": "MA0085173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany M. Liddell
• Joshua Marc Lieberman
• Kelsey Leanne Lieberman
• Stephen A Lieberman, MD
• Erica Liebermann, NP
• Megan Lifshitz, PA-C
• James R Ligas, M.D.
• Hannah Liggett
• Elizabeth Light, MSW, MSN, PMHNP-BC
• Lighthouse Integrated Health Group

• Oxygen Equipment & Supplies (DME) in Springfield, MA
• Providers in Springfield, MA by specialty
• Oxygen Equipment & Supplies (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.