Life Guard Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

NONE REQUIRED Issued in NU

Legal business name

LIFE GUARD INC.

Doing business as

Roane Home Medical

Practice address

101 Locust Ave.
Spencer, WV 25276

Phone

(304) 927-6090

Fax

(304) 927-6090

NPI assigned

Dec 12, 2006

Last updated

May 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonluc Tyrone Harris

Title

Vice President

Phone

(304) 834-5370

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roane Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Life Guard Inc

  dba Life Guard Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Saint Marys, WV
  • NPI 1992728208

  3375660541

  Same PAC ID
• Life Guard Inc.

  dba Preston Home Medical

  • Oxygen Equipment & Supplies (DME)
  • Kingwood, WV
  • NPI 1043439276

  3375660541

  Same PAC ID

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1912068180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOCUST AVE.",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "25276",
            "telephone_number": "304-927-6090",
            "fax_number": "304-927-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LOCUST AVE.",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "25276",
            "telephone_number": "304-927-6090",
            "fax_number": "304-927-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GUARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JONLUC",
        "authorized_official_middle_name": "TYRONE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-834-5370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6202086000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roane Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roane Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Lambert
• Sarah A Leger, APRN NP-C
• Taylor Lesher
• Teasure Lester
• Christina Letourneau
• Pedro F. Lo, MD
• Sarah Fay Lucion, LPN
• Lorna Lueck
• Virgil Lyons
• Alarra Mace

• Oxygen Equipment & Supplies (DME) in Spencer, WV
• Providers in Spencer, WV by specialty
• Oxygen Equipment & Supplies (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.