Lifestyle DME Group, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1001234 Issued in TX

Legal business name

LIFESTYLE DME GROUP, LLC

Doing business as

Lifestyle Medical Solutions

Practice address

2005 Valparaiso St
Ste 115
Valparaiso, IN 46383-3330

Phone

(713) 380-2110

Fax

(832) 834-4665

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sami Hassan

Title

Manager/Member

Phone

(713) 380-2110

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Medical Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

Locations

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.

• Marissa Felice Gordon, RD

  • Registered Dietitian
  • Rochester, NY
  • NPI 1346367521
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1942573068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "address_2": "STE 115",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833330",
            "telephone_number": "281-777-4330",
            "fax_number": "832-834-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "address_2": "STE 115",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833330",
            "telephone_number": "713-380-2110",
            "fax_number": "832-834-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE DME GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "713-380-2110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet S Levihn, RD
• Andrea Lewis, CNS
• Myron I Lewyckyj, M.D.
• Bettyann Lichtenstein, MA
• Life and Trauma Survivor Center LLC
• Lifetime Dental Care of Indiana, PC (Family Dental Care)
• Randi Beth Light, MS
• Eugene Lin, MD
• Nathaniel Joseph Lin
• Daniel Paul Linert, M.D.

• Durable Medical Equipment & Medical Supplies in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.