Lifebridge DME LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LIFEBRIDGE DME LLC

Practice address

1 Highhaven PL Apt TB
Nottingham, MD 21236-3266

Phone

(516) 225-3473

NPI assigned

Nov 27, 2024

Last updated

Dec 25, 2024By 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

Madiha Rehman

Title

Owner

Phone

(516) 225-3473

Specialties & licenses 1

Addresses

Other names 1

• LIFEBRIDGE DME LLC Former legal business name

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735084800000",
    "number": "1265258941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LEATHERWOOD PL APT F",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373512",
            "telephone_number": "516-225-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHHAVEN PL APT TB",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363266",
            "telephone_number": "516-225-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "MADIHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-225-3473"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFEBRIDGE DME LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LIFEBRIDGE DME LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Customized Equipment (DME) in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2024; 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.