Life Guard Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

NONE REQUIRED

Legal business name

LIFE GUARD INC.

Doing business as

Wetzel Home Medical

Practice address

299 1/2 North State Route 2
New Martinsville, WV 26155

Phone

(304) 455-0250

Fax

(304) 455-0250

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Matt Shively

Title

V.P.

Phone

(304) 665-2346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wetzel Home Medical Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1730249376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 1/2 NORTH STATE ROUTE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-455-0250",
            "fax_number": "304-455-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 1/2 NORTH STATE ROUTE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-455-0250",
            "fax_number": "304-455-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GUARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "SHIVELY",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "304-665-2346"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6202086001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wetzel Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Lantz, RPH
• Norma Jean Leehugh
• Kristin Lemmings
• Audra Lemon, FNP
• Jessica Maria Lewis, FNP-C
• Lifeline Pediatrics Inc
• Andrea M. Lockhart, DDS
• Samantha Long
• Hannah Jo Longwell
• Raven N Longwell

• Oxygen Equipment & Supplies (DME) in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Oxygen Equipment & Supplies (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.