Life Care Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5306002267 Issued in MI

Legal business name

LIFE CARE SUPPLIES

Doing business as

Life Care Supplies

Practice address

4305 Pineview Dr
Suite 300
Commerce Township, MI 48390-4111

Phone

(248) 366-7000

Fax

(888) 566-0216

NPI assigned

Oct 13, 2006

Last updated

Sep 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sasa Nedic

Title

Ceo

Phone

(248) 366-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• LIFE CARE SUPPLIES Doing business as
• LifeCare Supplies Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1700976768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 PINEVIEW DR STE 300",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904111",
            "telephone_number": "248-366-7000",
            "fax_number": "888-566-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 PINEVIEW DR",
            "address_2": "SUITE 300",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483904111",
            "telephone_number": "248-366-7000",
            "fax_number": "888-566-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "NEDIC",
        "authorized_official_first_name": "SASA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-366-7000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5306002267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4954116",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE CARE SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeCare Supplies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.