LIFE LINE SUPPLY CO (NPI# 1346639697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346639697 |
| Entity Type | Organization |
| Organization Name | LIFE LINE SUPPLY CO |
| Practice Address |
1545 W Mockingbird Ln Ste 1020 Dallas TX 75235-5014 |
| Practice Telephone | 2145224351 |
| Practice Fax Number | 8663329151 |
| Mailing Telephone | 2145224351 |
| Mailing Fax Number | 8663329151 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | MR. FRANK NICHOLSON (PRESIDENT) |
| Authorized Official Telephone | 2145224351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1000407 | TX | Suppliers |
| Street Address |
1545 W MOCKINGBIRD LN STE 1020 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215076450 | Texas Mental Health Consumers | Community/Behavioral Health | 1545 W Mockingbird Ln, 3005, Dallas, TX 75235-5014 | 2007-02-05 |
| 1851952915 | Mary Theresa Lakowsky | Counselor | 1545 W Mockingbird Ln, Dallas, TX 75235-5014 | 2019-06-27 |
| 1467012732 | Heather Lynn Schwartz | Case Manager/Care Coordinator | 1545 W Mockingbird Ln, Dallas, TX 75235-5014 | 2019-06-18 |
| 1639649049 | Noble Orajiato | Counselor | 1545 W Mockingbird Ln, Dallas, TX 75235-5014 | 2018-11-28 |
| 1356821367 | Dionne Porter | Counselor | 1545 W Mockingbird Ln, Dallas, TX 75235-5014 | 2018-08-19 |
| 1063990794 | Monique Coumpy-foster | Counselor | 1545 W Mockingbird Ln, Dallas, TX 75235-5014 | 2018-08-03 |
| 1124559794 | Anthony Radford | Behavior Technician | 1545 W Mockingbird Ln, #4000, Dallas, TX 75235-5014 | 2017-03-24 |
| 1609317593 | Rosalind Harris | Behavior Technician | 1545 W Mockingbird Ln, Dallas, TX 75235-5014 | 2017-03-13 |
| 1336599646 | Michelle Huff | Contractor | 1545 W Mockingbird Ln, Dallas, TX 75235-5014 | 2016-06-17 |
| 1215272737 | Tiffany N Lindley | Counselor | 1545 W Mockingbird Ln, 4000, Dallas, TX 75235-5014 | 2012-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| 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 |
|---|---|---|---|---|
| 1205443371 | Bridgewater Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 603 Munger Ave Ste 1001011, Dallas, TX 75202-1839 | 2020-09-23 |
| 1306464987 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2727 Live Oak St, Dallas, TX 75204-5729 | 2020-07-09 |
| 1669099644 | Panoptic Medical | Durable Medical Equipment & Medical Supplies | 8330 Lbj Fwy Ste 1030, Dallas, TX 75243-1166 | 2020-06-25 |
| 1770105264 | Axxess Medical LLC | Durable Medical Equipment & Medical Supplies | 6125 Luther Ln # 257, Dallas, TX 75225-6202 | 2020-05-07 |
| 1912527755 | Diesel Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2351 W Northwest Hwy Ste 3135, Dallas, TX 75220-4433 | 2020-04-22 |
| 1952930315 | Essential Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 9550 Forest Ln Ste 208e, Dallas, TX 75243-5905 | 2020-04-07 |
| 1770117061 | Kozlow and Rowell Dentistry Pllc | Durable Medical Equipment & Medical Supplies | 5050 Quorum Dr Ste 300, Dallas, TX 75254-1488 | 2020-02-26 |
| 1780214023 | Tyler Northcutt | Durable Medical Equipment & Medical Supplies | 2351 W Northwest Hwy Ste 1101, Dallas, TX 75220-4480 | 2020-01-24 |
| 1568002335 | Arthritis Strategies of Texas, Pllc | Durable Medical Equipment & Medical Supplies | 8611 Hillcrest Ave Ste 200b, Dallas, TX 75225-4203 | 2020-01-09 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| Find all providers in DALLAS | ||||
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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.