Dallas Life Support Systems, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0030830 Issued in TX

Legal business name

DALLAS LIFE SUPPORT SYSTEMS, INC

Practice address

7440 Whitehall St
Richland Hills, TX 76118-6426

Phone

(817) 284-7788

Fax

(817) 284-7780

NPI assigned

Jun 1, 2005

Organization subpart

No

Name

Mr. Scott Garber

Title

President

Phone

(817) 284-7788

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

• Life Support Systems Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2024.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1780686998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 WHITEHALL ST",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761186426",
            "telephone_number": "817-284-7788",
            "fax_number": "817-284-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 WHITEHALL ST",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761186426",
            "telephone_number": "817-284-7788",
            "fax_number": "817-284-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS LIFE SUPPORT SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-284-7788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0030830",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0030830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079335801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087426501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016174701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Support Systems",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Support Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Richland Hills, TX
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.