Life-Care Home Health & Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100335 Issued in CA

Legal business name

LIFE-CARE HOME HEALTH & MEDICAL SUPPLIES, INC

Practice address

11843 Wilshire Blvd
West Los Angeles, CA 90025-6601

Phone

(310) 479-0094

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Shawn S Naim, CMOF, BOC

Title

Ceo

Phone

(310) 479-0094

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Life Care Home Health Medical Supplies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Life Care Home Health & Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1740287317
  NPD tax ID

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1710050307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 WILSHIRE BLVD",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900256601",
            "telephone_number": "310-479-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11843 WILSHIRE BLVD",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900256601",
            "telephone_number": "310-479-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE-CARE HOME HEALTH & MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-479-0094",
        "authorized_official_credential": "CMOF, BOC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100335",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "100335",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C17635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01715G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF  CHILDRENS SERVICES",
            "identifier": "CGP171093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fritz Hudnut, DAOM LAC
• Hue Mental Health
• Carol Kochoff
• Mackenzie Alexander Kolt, DC
• Arnaud Kroener, LAC DAOM DIPL OM
• Jane Marlis
• Rebecca Ann McGuire, LCSW
• Don Nicholas Moy, PTA
• Janet Niederman, PH.D.
• Jeanne L. Obert, MFT

• Durable Medical Equipment & Medical Supplies in West Los Angeles, CA
• Providers in West Los Angeles, 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 Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.