Life Quest Home Medical Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

18477272 Issued in OH

Legal business name

LIFE QUEST HOME MEDICAL INC

Practice address

29011 Euclid Ave
Wickliffe, OH 44092-2465

Phone

(216) 731-1250

Fax

(216) 731-1298

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Smolik

Title

President

Phone

(216) 731-1250

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Life Quest Home Medical 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 Quest Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Euclid, OH
  • NPI 1245388669
  NPD tax ID

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1801910955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29011 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922465",
            "telephone_number": "216-731-1250",
            "fax_number": "216-731-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29011 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922465",
            "telephone_number": "216-731-1250",
            "fax_number": "216-731-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUEST HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "SMOLIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-731-1250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "18477272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0989006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Laquatra, LPCC-S
• Alyssa Laurenzi, M.A. CCC-SLP
• Julissa Denise Lee
• Ronald Paul Lemmo, DDS
• Murlisa Lewis, LSW
• Deante Darnell Lilly, CT
• Freida Luckett
• Kristopher Dell Luckett
• Stacy Macek, MA, AT, LPC
• Caroline Rose Madaffer

• Customized Equipment (DME) in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.