Organization Active NPI

Lifepro Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1497509764
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFEPRO MEDICAL SUPPLIES
Practice address
3140 Polaris Ave Ste 37
Las Vegas, NV 89102-8362
Phone
(725) 777-9588
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Andrea Garcia Aguilar, LCSW
Title
Owner/Administration
Phone
(725) 777-9588

Specialties & licenses 1

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

Addresses

Primary practice location

3140 Polaris Ave Ste 37
Las Vegas, NV 89102-8362

Mailing address

3140 Polaris Ave Ste 37
Las Vegas, NV 89102-8362
Phone (702) 849-4481

National Provider Directory

National Provider Directory

Locations

3140 Polaris Ave
Ste 37
Las Vegas, NV 89102
Phone (725) 777-9588

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1497509764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 POLARIS AVE STE 37",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028362",
            "telephone_number": "702-849-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 POLARIS AVE STE 37",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028362",
            "telephone_number": "725-777-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPRO MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATION",
        "authorized_official_telephone_number": "725-777-9588",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.