Lifecare Infusion Inc.

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

LIFECARE INFUSION INC.

Doing business as

Lifecare Infusion Ctr

Practice address

6415 S Fort Apache Rd Ste 175
Las Vegas, NV 89148-6746

Phone

(702) 665-5730

Fax

(702) 780-4887

NPI assigned

Oct 15, 2019

Last updated

Feb 8, 2023By 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

Cletus Amadi

Title

President/Ceo/Owner

Phone

(702) 303-6790

Specialties & licenses 2

Addresses

Other names 1

• LIFECARE INFUSION CTR Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teodoro Agtay, APN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1407263106
  Medicare reassignment NPD
• Toya Venetta Malone, M.D.

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1720297799
  Medicare reassignment NPD

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1265074868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 S FORT APACHE RD STE 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486746",
            "telephone_number": "702-330-0273",
            "fax_number": "702-780-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 S FORT APACHE RD STE 175",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486746",
            "telephone_number": "702-665-5730",
            "fax_number": "702-780-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE INFUSION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "CLETUS",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "702-303-6790"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFECARE INFUSION CTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Life's Journey LLC
• Life1 Care Home LLC
• Lifeaba LLC
• Lifebridge Healthcare LLC
• Lifecare Hospital at Tenaya LLC (Complex Care Hospital at Tenaya)
• Lifecare Medical Supplies Inc
• Lifecare Medical Supplies West Inc
• Lifecare Partners
• Lifecare Pharmacy LLC (LifeCare Specialty Pharmacy)
• Lifecare Pharmacy, LLC (Care N Home Pharmacy)

• Infusion Therapy Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Infusion Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.