Organization Active NPI

Lifecare Home Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Goodlettsville, TN
National Provider Identifier
1427062710
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0000002189 Issued in TN
Legal business name
LIFECARE HOME MEDICAL EQUIPMENT
Practice address
813 Meadowlark LN
Goodlettsville, TN 37072-2307
Phone
(615) 851-5057
Fax
(615) 851-6671
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mr. Craig Cooper
Title
President
Phone
(615) 851-5057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0000002189 TN Primary

Addresses

Primary practice location

813 Meadowlark LN
Goodlettsville, TN 37072-2307

Mailing address

813 Meadowlark LN
Goodlettsville, TN 37072-2307
Phone (615) 851-5057

Other identifiers 2

IdentifierTypeStateIssuer
1454679MedicaidTN
4095389OtherTNBCBS TN

National Provider Directory

National Provider Directory

Locations

813 Meadowlark Ln
Goodlettsville, TN 37072
Phone (615) 851-5057

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1427062710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 MEADOWLARK LN",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722307",
            "telephone_number": "615-851-5057",
            "fax_number": "615-851-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 MEADOWLARK LN",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722307",
            "telephone_number": "615-851-5057",
            "fax_number": "615-851-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-851-5057",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000002189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454679",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4095389",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.