Lifeline Marketing Group, LLC Kenneth M Folwell Sole MBR

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFELINE MARKETING GROUP, LLC KENNETH M FOLWELL SOLE MBR

Practice address

57675 Twentynine Palms Hwy
Suite 102
Yucca Valley, CA 92284

Phone

(657) 234-5433

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Ken Folwell

Title

Owner

Phone

(657) 234-5433

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1659838415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57675 TWENTYNINE PALMS HWY",
            "address_2": "SUITE 102",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "657-234-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57675 TWENTYNINE PALMS HWY",
            "address_2": "SUITE 102",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "657-234-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MARKETING GROUP, LLC KENNETH M FOLWELL SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "FOLWELL",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "657-234-5433"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "332B00000X",
            "identifier": "332B00000X",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528436367",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "332B00000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Timothy Lester
• Fredi Ruth Levitt
• Howard Phillip Levy, D.O.
• Clint Lewis
• Tania Leysen
• Ellen Frances Liguori, NP-C
• Susan F Lilly, M.S., MFT
• Tonya Linde
• Patsy Jean Lindsey
• Rochelle A. Lindsey

• Durable Medical Equipment & Medical Supplies in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.