Life Supply Corporation

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

LIFE SUPPLY CORPORATION

Doing business as

Diversified Medical Equipment Services

Practice address

143 Mill St
Leominster, MA 01453-3242

Phone

(978) 537-8707

Fax

(978) 537-9196

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Smith

Title

Ceo Presiden

Phone

(203) 239-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diversified Medical Equipment Services Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Technical Gas Products, Inc

  • Oxygen Equipment & Supplies (DME)
  • Hilliard, OH
  • NPI 1003146275

  Member Of

  NPD member

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1891856506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MOODY ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561244",
            "telephone_number": "413-593-5555",
            "fax_number": "413-593-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 MILL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533242",
            "telephone_number": "978-537-8707",
            "fax_number": "978-537-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO PRESIDEN",
        "authorized_official_telephone_number": "203-239-1002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544144",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Medical Equipment Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversified Medical Equipment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice Flores Lewis, NP
• Shipen Li, M.D.
• Yijia Li, DMD
• Christine Liang
• Amanda Leigh Liberty, PMHNP
• Lighthouse Care Solutions
• Poliana Larissa Lin, APRN
• Kimberly Lindstrom, PHARMD
• Molly Linnane
• Lisa M. Phillips (Phillips Speech and Language Therapy)

• Oxygen Equipment & Supplies (DME) in Leominster, MA
• Providers in Leominster, MA by specialty
• Oxygen Equipment & Supplies (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.