Active NPI
Lifecare Solutions Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- San Diego, CA
National Provider Identifier
1669485314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- PHY 50553
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669485314 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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
- Life Force Health Chiropractic Inc
- Life Medical Care Professional Corporation
- Life Medical Practitioners
- Life Resource and Developement (Uptown Church of Christ)
- Lifecare Solutions Inc
- Lifehealth Medicine Apc
- Lifehouse San Diego Operations, LLC (San Diego Healthcare Center)
- Lifeline Transportation LLC (LifeLine Transportation)
- Lifemark Marriage & Family Therapy Corporation (Lifemark Behavioral Health)
- Lifemark Solutions LLC
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.