LIFEHOUSE MEDICAL SUPPLY, LLC (NPI# 1740799055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740799055 |
| Entity Type | Organization |
| Organization Name | LIFEHOUSE MEDICAL SUPPLY, LLC |
| Practice Address |
7437 Narcissus Ln N Maple Grove MN 55311-1726 |
| Practice Telephone | (763) 258-6284 |
| Mailing Telephone | 7632586284 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | CHRISTOPHER D. KING (PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7632586284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
7437 NARCISSUS LN N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| Find all providers in zip 55311 | ||||
| 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 |
|---|---|---|---|---|
| 1043729452 | Yamaco Home Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 8903 Pineview Ln N, Maple Grove, MN 55369-6557 | 2017-09-28 |
| 1780814467 | Oakdale Health Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 13800 83rd Way N Ste 102b, Maple Grove, MN 55369-7016 | 2009-07-16 |
| 1619145943 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 16322 County Road 30, Maple Grove, MN 55311-1207 | 2008-02-20 |
| 1730363698 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 9550 Upland Lane North, Suite 220, Maple Grove, MN 55369 | 2007-12-27 |
| 1780721886 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 16750 County Road 30, Maple Grove, MN 55311-4523 | 2007-01-30 |
| 1225109093 | Twin Cities Medical Supply | Durable Medical Equipment & Medical Supplies | 16720 73rd Pl N, Maple Grove, MN 55311-2130 | 2006-11-13 |
| 1679688717 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 8150 Wedgewood Ln N, Maple Grove, MN 55369 | 2006-08-20 |
| 1124033436 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13611 Grove Dr, Maple Grove, MN 55311-4405 | 2006-07-29 |
| 1184641581 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 16701 94th Ave N, Maple Grove, MN 55311-5448 | 2006-07-16 |
| 1891712287 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 9451 Dunkirk Ln N, Maple Grove, MN 55311-5447 | 2006-07-16 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55311 |
Please comment or provide details below to improve the information on LIFEHOUSE MEDICAL SUPPLY, LLC.
| 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.