Life Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE MEDICAL SUPPLY, LLC

Practice address

444 Holderrieth Blvd Ste 6
Tomball, TX 77375-4553

Phone

(281) 351-6216

NPI assigned

Mar 23, 2023

Last updated

Mar 23, 2023By 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

Lonnie Blake DorceyNPI 1033165113

Title

President

Phone

(205) 566-1674

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Life Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
  • NPI 1689671836

  5496965568

  Same PAC ID

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

Tax ID family

Life Medical Supply LLC2 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 Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
  • NPI 1689671836
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lonnie Blake Dorcey, RPT

  • Physical Medicine & Rehabilitation Physician
  • Birmingham, AL
  • NPI 1033165113
  NPD (past) Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1730882390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550309",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352550309",
            "telephone_number": "205-631-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOLDERRIETH BLVD STE 6",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754553",
            "telephone_number": "281-351-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "DORCEY",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-566-1674"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Lewis
• Kori Lewis, SLP
• Maryann Lewis, APRN
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• Liberty Transit LLC
• Lifepointe Hospice LLC (LifePointe Hospice and Home Health)
• Lighthouse Hospice Partners LLC (Girling Hospice TEXAS BY HARDEN HEALTHCARE)
• Beth Ann Lindsey
• Hollie Litke
• Grace Liu

• Durable Medical Equipment & Medical Supplies in Tomball, TX
• Providers in Tomball, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.