Life Care Medical Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIFE CARE MEDICAL GROUP INC

Practice address

1665 Palm Beach Lakes Blvd Ste B-202
West Palm Beach, FL 33401-2121

Phone

(561) 231-9487

Fax

(561) 726-6201

NPI assigned

Jun 6, 2022

Organization subpart

No

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

Authorized official

Name

Manuel Gabriel Herrera

Title

Ceo/President

Phone

(561) 231-9487

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1740919828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD STE B-202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012121",
            "telephone_number": "561-231-9487",
            "fax_number": "561-726-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 PALM BEACH LAKES BLVD STE B-202",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012121",
            "telephone_number": "561-231-9487",
            "fax_number": "561-726-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "561-231-9487"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric M Lieman, DPT
• Life Changes Addiction Treatment Center of the Palm Beaches
• Life Counseling Outpatient Services Inc
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• Life Group Psychotherapy, Inc
• Life Recovery of the Palm Beaches

• Durable Medical Equipment & Medical Supplies in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.