Active NPI
Lifeline Valley Care, LLC
- Durable Medical Equipment & Medical Supplies
- Pharr, TX
National Provider Identifier
1396035440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LIFELINE VALLEY CARE, LLC
- Practice address
- 1313 W Polk Ave
#23
Pharr, TX 78577-2136 - Phone
- (956) 283-0106
- Fax
- (956) 283-9046
- NPI assigned
- Apr 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Rohde
- Title
- Managing Member
- Phone
- (309) 664-7930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1313 W Polk Ave
#23
Pharr, TX 78577-2136
Mailing address
1313 W Polk Ave Ste 23
Pharr, TX 78577-2141
Phone (956) 283-0106
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2856676-04 | Medicaid | TX | |
| 2856676-05 | Medicaid | TX | |
| 2856676-03 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121219000210 | TX | DME Supplier - Medical Supply Company | 7214189307 | Practice locations: Pharr, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lifeline Valley Care LLC | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Wa… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1313 W Polk Ave
Ste 23
Pharr, TX 78577
Phone (956) 283-0106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1396035440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 W POLK AVE STE 23",
"city": "PHARR",
"state": "TX",
"postal_code": "785772141",
"telephone_number": "956-283-0106",
"fax_number": "956-283-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W POLK AVE",
"address_2": "#23",
"city": "PHARR",
"state": "TX",
"postal_code": "785772136",
"telephone_number": "956-283-0106",
"fax_number": "956-283-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE VALLEY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-11",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "ROHDE",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "309-664-7930"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2856676-04",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2856676-05",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2856676-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.