Organization Active NPI

Lifecare Solutions Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Kennewick, WA
National Provider Identifier
1962726836
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
LIFECARE SOLUTIONS INC
Practice address
6818 W Kennewick Ave
Suite C
Kennewick, WA 99336
Phone
(509) 736-0923
Fax
(509) 736-6891
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
William Keys
Title
Ceo
Phone
(480) 446-9010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

6818 W Kennewick Ave
Suite C
Kennewick, WA 99336

Mailing address

PO Box 40700
Mesa, AZ 85274-0700
Phone (866) 260-2230

Other identifiers 1

IdentifierTypeStateIssuer
1962726836MedicaidWA

National Provider Directory

National Provider Directory

Locations

6818 W Kennewick Ave
Ste C
Kennewick, WA 99336
Phone (509) 374-5775

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1962726836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "866-260-2230",
            "fax_number": "858-444-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 W KENNEWICK AVE",
            "address_2": "SUITE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-736-0923",
            "fax_number": "509-736-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962726836",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.