Life Care Home Health & Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE CARE HOME HEALTH & MEDICAL SUPPLIES INC

Practice address

11843 Wilshire Blvd
Los Angeles, CA 90025-6601

Phone

(310) 479-0094

Fax

(310) 477-0999

NPI assigned

Jun 28, 2005

Last updated

Aug 22, 2020By 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

Shahram Naim, COMF, BOC

Title

Ceo/President

Phone

(310) 479-0094

Specialties & licenses 1

Addresses

Other identifiers 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
  • West Los Angeles, CA
  • NPI 1710050307
  NPD tax ID

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740287317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256601",
            "telephone_number": "310-479-0094",
            "fax_number": "310-477-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11843 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256601",
            "telephone_number": "310-479-0094",
            "fax_number": "310-477-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOME HEALTH & MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-479-0094",
        "authorized_official_credential": "COMF, BOC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01715G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle-Thao Lieu
• Ngan Phung Lieu
• Elaine C Liew, M.D.
• Jazmine Liew, MD, MS
• Pauline Liew
• Life Care Medical Clinic a Professional Corporation
• Life Energy Physical Therapy, Inc.
• Life Force Medical Institute, Inc
• Life Force Physical Therapy
• Life Garden Home Health Care Inc

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in 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 Aug 22, 2020; 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.