Lifecare Solutions, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

C000788 Issued in AZ

Legal business name

LIFECARE SOLUTIONS, INC.

Practice address

6550 E 2ND St Ste C
Prescott Valley, AZ 86314

Phone

(928) 759-7255

Fax

(928) 759-7274

NPI assigned

Nov 10, 2009

Reactivated

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

William Keys

Title

Ceo

Phone

(480) 446-9010

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1609103720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "858-565-1800",
            "fax_number": "858-565-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 E 2ND ST STE C",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-759-7255",
            "fax_number": "928-759-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2018-08-06",
        "deactivation_date": "2011-04-04",
        "reactivation_date": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AZ",
            "license": "C000788",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "C000788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.