Active NPI
Personal Living Solutions LP
- Durable Medical Equipment & Medical Supplies
- Cedar Park, TX
National Provider Identifier
1629078175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 148405701
- Legal business name
- PERSONAL LIVING SOLUTIONS LP
- Practice address
- 700 S Bell Blvd
#F3
Cedar Park, TX 78613-3804 - Phone
- (512) 506-8855
- Fax
- (512) 506-8860
- NPI assigned
- Jul 27, 2005
- Last updated
- Nov 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mireya Medina
- Title
- Ceo
- Phone
- (512) 506-8855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 148405701 | TX | Primary |
Addresses
Primary practice location
700 S Bell Blvd
#F3
Cedar Park, TX 78613-3804
Mailing address
100 E Whitestone Blvd
#318
Cedar Park, TX 78613-6902
Phone (512) 506-8855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4059980001 | Other | TX | MEDICARE PROVIDER NUMBER |
| 0013003 | Other | TX | GERMICIDAL & BEDDING |
| 148405701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
100 E Whitestone Blvd
#318
Cedar Park, TX 78613
700 S Bell Blvd
Ste F3
Cedar Park, TX 78613
Phone (512) 506-8855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257897600000",
"number": "1629078175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E WHITESTONE BLVD",
"address_2": "#318",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786136902",
"telephone_number": "512-506-8855",
"fax_number": "512-506-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S BELL BLVD",
"address_2": "#F3",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133804",
"telephone_number": "512-506-8855",
"fax_number": "512-506-8860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL LIVING SOLUTIONS LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-27",
"last_updated": "2009-11-11",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "MIREYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-506-8855"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "148405701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "4059980001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GERMICIDAL & BEDDING",
"identifier": "0013003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148405701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.