LIFESOURCE TECHNOLOGIES INC. (NPI# 1164657748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164657748 |
| Entity Type | Organization |
| Organization Name | LIFESOURCE TECHNOLOGIES INC. |
| Practice Address |
1307 W 6th St Suite 207 Corona CA 92882-3294 |
| Practice Telephone | 9517366160 |
| Practice Fax Number | 9517360440 |
| Mailing Telephone | 9517366160 |
| Mailing Fax Number | 9517360440 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | DONZELLA LYNNE FLETCHER (OWNER) |
| Authorized Official Telephone | 9517366160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 331L00000X | Blood Bank | Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIFESOURCE TECHNOLOGIES INC. | 50 Benjamin Drive, Staten Island, New York 10303 |
| Street Address |
1307 W 6TH ST SUITE 207 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-3294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153848 | Centro Medico Community Clinic, Inc | Clinic/Center | 1307 W 6th St, Ste 113, Corona, CA 92882-3168 | 2005-06-13 |
| 1831681485 | Joanna Anin | Behavior Technician | 1307 W 6th St, Corona, CA 92882-3294 | 2018-05-30 |
| 1760990592 | Meredith Dennis | Behavior Technician | 1307 W 6th St, Corona, CA 92882-3294 | 2018-01-15 |
| 1356877658 | C&c Home Care, LLC | Home Health | 1307 W 6th St, Suite 220f, Corona, CA 92882-3294 | 2017-05-05 |
| 1811311863 | Right Choice Hospice Care | Hospice Care, Community Based | 1307 W 6th St, Suite 209, Corona, CA 92882-3294 | 2014-02-11 |
| 1255699542 | Sharmez Gresshel Savoy | Physician Assistant | 1307 W 6th St, Suite 103, Corona, CA 92882-3294 | 2012-04-25 |
| 1659668176 | Randi Furman | Counselor | 1307 W 6th St, Corona, CA 92882-3294 | 2011-07-05 |
| 1538451422 | Kristyn Carol Thompson | Counselor | 1307 W 6th St, Ste 109, Corona, CA 92882-3294 | 2011-05-10 |
| 1104122050 | Crystal Sandoval | Counselor | 1307 W 6th St, Ste. 109, Corona, CA 92882 | 2011-02-09 |
| 1942435425 | Vicki M Imbach | Counselor | 1307 W 6th St, Corona, CA 92882-3294 | 2009-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629359 | Crown City Dme, LLC | Durable Medical Equipment & Medical Supplies | 10121 Nicolls Ave, Corona, NY 11368-2818 | 2020-08-11 |
| 1942692439 | A.c. Adderson Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1267 Enterprise Ct, Corona, CA 92882-7126 | 2015-02-20 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1376889931 | Best Five Star Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10308 Roosevelt Ave Fl 1, Corona, NY 11368-2330 | 2012-12-28 |
| 1457680282 | Terry Dust | Durable Medical Equipment & Medical Supplies | 8464 Renwick Dr, Corona, CA 92883-5699 | 2009-12-07 |
| 1952553844 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11950 Depalma Rd, Corona, CA 92883 | 2008-10-22 |
| 1144479700 | Vons Companies Inc | Durable Medical Equipment & Medical Supplies | 11800 De Palma Rd, Corona, CA 92883-8498 | 2008-09-18 |
| 1306024211 | Howard Diamond Dpm | Durable Medical Equipment & Medical Supplies | 5210 108th St, Corona, NY 11368-3344 | 2008-02-01 |
| 1306029400 | Gdi Medical Equipment & Supplies Inc. | Durable Medical Equipment & Medical Supplies | 541 N Main St Ste 102, Corona, CA 92880-2056 | 2007-12-11 |
| 1053527994 | Comfort Concepts, LLC | Durable Medical Equipment & Medical Supplies | 1344 W 6th St, Ste. 203, Corona, CA 92882-3197 | 2007-05-15 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.