Lifecare Medical Supplies Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

003302700 Issued in NV

Legal business name

LIFECARE MEDICAL SUPPLIES INC

Practice address

6415 S Fort Apache Rd Ste 170
Las Vegas, NV 89148-6747

Phone

(702) 696-1527

Fax

(702) 696-1591

NPI assigned

Nov 29, 2005

Last updated

Aug 30, 2021By 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

Mr. Cletus Onye Amadi, MR.

Title

President

Phone

(702) 696-1527

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Care N Home Medical Supplies Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1285617761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 S FORT APACHE RD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486747",
            "telephone_number": "702-696-1527",
            "fax_number": "702-696-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 S FORT APACHE RD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486747",
            "telephone_number": "702-696-1527",
            "fax_number": "702-696-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "CLETUS",
        "authorized_official_middle_name": "ONYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-696-1527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "005802700",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "003302700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003302700",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care N Home Medical Supplies Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Care N Home Medical Supplies Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Life1 Care Home LLC
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• Lifecare Hospital at Tenaya LLC (Complex Care Hospital at Tenaya)
• Lifecare Infusion Inc. (Lifecare Infusion Ctr)
• Lifecare Medical Supplies West Inc
• Lifecare Partners
• Lifecare Pharmacy LLC (LifeCare Specialty Pharmacy)
• Lifecare Pharmacy, LLC (Care N Home Pharmacy)
• Lifecare, LLC. (LifeCare Hospice)

• Oxygen Equipment & Supplies (DME) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Oxygen Equipment & Supplies (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.