LIFELINE MARKETING GROUP, LLC KENNETH M FOLWELL SOLE MBR (NPI# 1659838415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659838415 |
| Entity Type | Organization |
| Organization Name | LIFELINE MARKETING GROUP, LLC KENNETH M FOLWELL SOLE MBR |
| Practice Address |
57675 Twentynine Palms Hwy Suite 102 Yucca Valley CA 92284 |
| Practice Telephone | 6572345433 |
| Mailing Telephone | 6572345433 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | KEN FOLWELL (OWNER) |
| Authorized Official Telephone | 6572345433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170300000X | Genetic Counselor, MS | Other Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE | 332B00000X | 01 |
| CA | 1528436367 | 05 | |
| DURABLE MEDICAL EQUIPMENT | 332B00000X | 01 |
| Street Address |
57675 TWENTYNINE PALMS HWY SUITE 102 |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| 1366864068 | Lavina Marie Smith | Licensed Vocational Nurse | 55475 Santa Fe Trail Ste 100, Telecare Corporation, Yucca Valley, CA 92284 | 2014-01-15 |
| Find all providers in zip 92284 | ||||
| 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 |
|---|---|---|---|---|
| 1952410375 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 57701 29 Palms Highway, Yucca Valley, CA 92284-3073 | 2006-08-30 |
| 1992710289 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 58133 29 Palms Hwy, Yucca Valley, CA 92284-5801 | 2006-07-29 |
| 1760409189 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 58501 29 Palms Hwy, Yucca Valley, CA 92284-5765 | 2006-07-16 |
| 1912933797 | Vons Companies Inc | Durable Medical Equipment & Medical Supplies | 57590 29 Palms Hwy, Yucca Valley, CA 92284-2934 | 2006-06-24 |
| 1821078577 | Medi-source Equipment & Supply Inc | Durable Medical Equipment & Medical Supplies | 57725 Twentynine Palms Hwy, Suite 402, Yucca Valley, CA 92284-3046 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316192 | Ramon D Riego Jr. | Durable Medical Equipment & Medical Supplies | 12371 Lewis St Ste 202, Garden Grove, CA 92840-4688 | 2020-11-04 |
| 1447851001 | Christy Ann Packard | Durable Medical Equipment & Medical Supplies | 11130 Linda Dr, Auburn, CA 95602-9232 | 2020-11-02 |
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1023618709 | S & K Dme LLC | Durable Medical Equipment & Medical Supplies | 9910 Irvine Center Dr Bldg 7, Irvine, CA 92618-4357 | 2020-10-30 |
| 1942800800 | Ade Medical and Equipments Suppliers, LLC | Durable Medical Equipment & Medical Supplies | 14205 Inglewood Ave, Hawthorne, CA 90250-6729 | 2020-10-29 |
| 1689274755 | Genesis Hcp of Orange County | Durable Medical Equipment & Medical Supplies | 11552 Knott St # C11, Garden Grove, CA 92841-1824 | 2020-10-28 |
| 1376143479 | Impakt Medical, LLC | Durable Medical Equipment & Medical Supplies | 14125 Capri Dr Ste 8, Los Gatos, CA 95032-1516 | 2020-10-28 |
| 1811596901 | Kd Medical Inc | Durable Medical Equipment & Medical Supplies | 4565 Monaco Ct, Orcutt, CA 93455-4073 | 2020-10-20 |
| 1710585161 | Interlang LLC Dba Montgomery Dme | Durable Medical Equipment & Medical Supplies | 14109 Pontlavoy Ave, Santa Fe Spgs, CA 90670-4934 | 2020-10-16 |
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
Please comment or provide details below to improve the information on LIFELINE MARKETING GROUP, LLC KENNETH M FOLWELL SOLE MBR.
| 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.