Organization Active NPI

Lifecare Med Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
National Provider Identifier
1356911788
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFECARE MED INC
Practice address
11595 Kelly Rd Ste 105
Fort Myers, FL 33908-2572
Phone
(339) 225-7920
NPI assigned
Jun 28, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Miss Ramon Alfonso Batista
Title
President
Phone
(339) 225-7920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11595 Kelly Rd Ste 105
Fort Myers, FL 33908-2572

Mailing address

11595 Kelly Rd Ste 105
Fort Myers, FL 33908-2572
Phone (339) 225-7920

National Provider Directory

National Provider Directory

Locations

11595 Kelly Rd
Ste 105
Fort Myers, FL 33908
Phone (239) 225-7920

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1356911788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "339-225-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "339-225-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "BATISTA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "339-225-7920",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.