NPIMap

Organization Active NPI

Life Care Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Portsmouth, OH
National Provider Identifier
1417255308
Registry record updated Sep 8, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
11441 Issued in OH
Legal business name
LIFE CARE HOME MEDICAL EQUIPMENT, LLC
Practice address
729 6TH St
Portsmouth, OH 45662-4030
Phone
(740) 355-2273
Fax
(740) 776-2273
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Mr. Calvin D Avery
Title
President
Phone
(740) 354-6169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 11441 OH Primary

Addresses

Primary practice location

729 6TH St
Portsmouth, OH 45662-4030

Mailing address

PO Box 1111
Portsmouth, OH 45662-1111
Phone (740) 355-2273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1417255308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456621111",
            "telephone_number": "740-355-2273",
            "fax_number": "740-776-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 6TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624030",
            "telephone_number": "740-355-2273",
            "fax_number": "740-776-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-354-6169",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "11441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.