Life Guard Medical Supply

LBN: In Home Care Llc
Life Guard Medical Supply is an health care organization with primary practice located at 108 Pullman Dr , Pennsboro WV 26415. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. In Home Care Llc can be contacted via phone (304) 659-3535, or through Clevenger, Mary Gale via phone (304) 659-3535.

Contact Information

Primary practice address
108 Pullman Dr Pennsboro WV 26415
Phone: (304) 659-3535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clevenger, Mary Gale
Phone: (304) 659-3535

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1376567859
LBN Legal business name In Home Care Llc
DBA Doing business as Life Guard Medical Supply
Authorized official Clevenger, Mary Gale
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376567859 NPPES
West Virginia MEDICAID 3810002357

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