NPIMap

Organization Active NPI

Lifecare Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1760728513
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFECARE MEDICAL SUPPLIES
Practice address
1325 Capital Cir
Lawrenceville, GA 30043-8903
Phone
(404) 431-6829
NPI assigned
Dec 26, 2012
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Kingsley IgbinosunNPI 1659617439
Title
Owner
Phone
(404) 431-6829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1325 Capital Cir
Lawrenceville, GA 30043-8903

Mailing address

1325 Capital Cir
Lawrenceville, GA 30043-8903
Phone (404) 431-6829

National Provider Directory

National Provider Directory

Locations

1325 Capital Cir
Lawrenceville, GA 30043
Phone (404) 431-6829

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1760728513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 CAPITAL CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438903",
            "telephone_number": "404-431-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 CAPITAL CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438903",
            "telephone_number": "404-431-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "IGBINOSUN",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-431-6829"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.