Organization Active NPI

Lifehme, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Thomson, GA
National Provider Identifier
1962450429
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
301380159 Issued in GA
Legal business name
LIFEHME, INC.
Practice address
312 Hospital Dr
Thomson, GA 30824-2121
Phone
(706) 597-8747
Fax
(706) 597-8742
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Mr. James Dewey Roof III
Title
President
Phone
(803) 254-8775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 301380159 GA Primary

Addresses

Primary practice location

312 Hospital Dr
Thomson, GA 30824-2121

Mailing address

312 Hospital Dr
Thomson, GA 30824-2121
Phone (706) 597-8747

Other identifiers 3

IdentifierTypeStateIssuer
00933149AMedicaidGA
00733149AMedicaidGA
00733149BMedicaidGA

National Provider Directory

National Provider Directory

Locations

312 Hospital Dr
Thomson, GA 30824
Phone (706) 597-8747

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1962450429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 HOSPITAL DR",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242121",
            "telephone_number": "706-597-8747",
            "fax_number": "706-597-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HOSPITAL DR",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242121",
            "telephone_number": "706-597-8747",
            "fax_number": "706-597-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "ROOF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEWEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-254-8775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "301380159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00933149A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733149A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733149B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.