LIFE GUARD INC. (NPI# 1750441499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750441499 |
| Entity Type | Organization |
| Organization Name | LIFE GUARD INC. |
| Other Organization Name | LIFE GUARD MEDICAL SUPPLY |
| Practice Address |
Johnson Street and Pine Creek Road Grantsville WV 26147 |
| Practice Telephone | 3043549103 |
| Practice Fax Number | 3043549203 |
| Mailing Telephone | 3043549103 |
| Mailing Fax Number | 3043549203 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | MATT SHIVELY (V.P.) |
| Authorized Official Telephone | 3046652346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | NONE REQUIRED | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6202059000 | 05 |
| Other Name | Type Code |
|---|---|
| Life Guard Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043439276 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 S Price St, Kingwood, WV 26537-1424 | 2007-04-25 |
| 1912068180 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 101 Locust Ave., Spencer, WV 25276 | 2006-12-12 |
| 1730249376 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 299 1/2 North State Route 2, New Martinsville, WV 26155 | 2006-12-12 |
| 1255586111 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 105 Duncan Road, Marlinton, WV 24954 | 2008-11-19 |
| Street Address |
JOHNSON STREET AND PINE CREEK ROAD |
| City | GRANTSVILLE |
| State | WV |
| Zip Code | 26147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407258148 | Rick Poling | Technician | 105 Market St., Grantsville, WV 26147 | 2014-09-25 |
| 1902803141 | J & B Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 352 Main Street, Grantsville, WV 26147 | 2005-07-01 |
| 1093231904 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 337 Main St, Grantsville, WV 26147 | 2017-08-22 |
| 1184090920 | Mandi Jo Johnson | Nurse Practitioner | 186 Hospital Dr, Grantsville, WV 26147 | 2015-08-17 |
| 1831593813 | Calhoun County Committee On Aging | Home Health | 105 Market Street, Grantsville, WV 26147 | 2014-10-20 |
| 1487058681 | Calhoun County Committee On Aging | Home Health | 105 Market Street, Grantsville, WV 26147 | 2014-10-16 |
| 1649579608 | Leslie Williams | Pharmacist | 337 Main St, Grantsville, WV 26147 | 2011-03-16 |
| 1881909901 | Sarah Walker | Pharmacist | 337 Main Street, Grantsville, WV 26147 | 2010-08-12 |
| 1487798914 | Calhoun County Committee On Aging, Inc. | Voluntary or Charitable | 3 Market Street, Grantsville, WV 26147 | 2007-02-17 |
| 1053348284 | Mark J Cinalli Od Faao LLC | Optometrist | 248 Court Street, Grantsville, WV 26147-0633 | 2006-06-26 |
| Find all providers in zip 26147 | ||||
| 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 |
|---|---|---|---|---|
| 1386734408 | Rite Aid of Maryland Inc | Durable Medical Equipment & Medical Supplies | 3237 Chestnut Ridge Road, Grantsville, MD 21536-1370 | 2006-10-13 |
| 1902803141 | J & B Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 352 Main Street, Grantsville, WV 26147 | 2005-07-01 |
| 1093231904 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 337 Main St, Grantsville, WV 26147 | 2017-08-22 |
| 1528582483 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3237 Chestnut Ridge Rd, Grantsville, MD 21536-1370 | 2017-08-01 |
| 1891896338 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 337 Main Street, Grantsville, WV 26147-0733 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
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| 1053933028 | Oxy Pam II LLC | Durable Medical Equipment & Medical Supplies | 117 Lee St, Beckley, WV 25801-6037 | 2020-05-13 |
| 1437788304 | Locust Medical, LLC | Durable Medical Equipment & Medical Supplies | 213 Temple St, Hinton, WV 25951-2330 | 2020-04-03 |
| 1174156061 | Dasco-camc Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2120 Pennsylvania Ave Ste 1, Charleston, WV 25302-4135 | 2020-02-19 |
| 1134780109 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 Chestnut Ridge Rd, Morgantown, WV 26505-2704 | 2019-06-21 |
| 1275002339 | Hometown Health Investments Inc | Durable Medical Equipment & Medical Supplies | 351 Hanging Rock Hwy, Logan, WV 25601-5105 | 2018-11-19 |
| 1841765310 | Frederick Foot and Ankle Specialists | Durable Medical Equipment & Medical Supplies | 123 Health Care Ln, Martinsburg, WV 25401-4008 | 2018-10-10 |
| 1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
| 1154828671 | Raleigh General Hospital LLC | Durable Medical Equipment & Medical Supplies | 1717 Harper Rd Ste C, Beckley, WV 25801-3373 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
| City | GRANTSVILLE |
| Zip Code | 26147 |
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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.