Organization Active NPI

Lifeline Valley Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Pharr, TX
National Provider Identifier
1396035440
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Nov 5, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2856676-04MedicaidTX
2856676-05MedicaidTX
2856676-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000210 TX DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 7214189307 Practice locations: Pharr, TX

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Lifeline Valley Care LLC1313 W Polk, Pharr, TX 78577-2141(956) 283-0106 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 assignmentParticipating since Nov 7, 2012

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.