Organization Active NPI

Lifecare Solutions Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • San Diego, CA
National Provider Identifier
1669485314
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
PHY 50553 Issued in CA
Legal business name
LIFECARE SOLUTIONS INC
Practice address
10119 Carroll Canyon Rd
San Diego, CA 92131
Phone
(858) 444-2800
Fax
(858) 444-2810
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 54985 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHY 50553 CA Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 54985 CA
Home Infusion Therapy Pharmacy 3336H0001X PHY 50553 CA

Addresses

Primary practice location

10119 Carroll Canyon Rd
San Diego, CA 92131

Mailing address

PO Box 40700
Mesa, AZ 85274-0700
Phone (866) 260-2230

Other identifiers 1

IdentifierTypeStateIssuer
1669485314MedicaidCA

National Provider Directory

National Provider Directory

Locations

10119 Carroll Canyon Rd
San Diego, CA 92131
Phone (858) 444-2800

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1669485314",
    "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": "866-260-2230",
            "fax_number": "858-444-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 CARROLL CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-444-2800",
            "fax_number": "858-444-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-08-03",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "54985",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY 50553",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "54985",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY 50553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669485314",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

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