LIFE GUARD INC. (NPI# 1912068180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912068180 |
| Entity Type | Organization |
| Organization Name | LIFE GUARD INC. |
| Other Organization Name | ROANE HOME MEDICAL |
| Practice Address |
101 Locust Ave. Spencer WV 25276 |
| Practice Telephone | 3049276090 |
| Practice Fax Number | 3049276090 |
| Mailing Telephone | 3049276090 |
| Mailing Fax Number | 3049276090 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| 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 | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
NONE REQUIRED | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6202086000 | 05 |
| Other Name | Type Code |
|---|---|
| Roane Home Medical | 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 |
| 1730249376 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 299 1/2 North State Route 2, New Martinsville, WV 26155 | 2006-12-12 |
| 1750441499 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | Johnson Street and Pine Creek Road, Grantsville, WV 26147 | 2006-12-11 |
| 1255586111 | Life Guard Inc. | Durable Medical Equipment & Medical Supplies | 105 Duncan Road, Marlinton, WV 24954 | 2008-11-19 |
| Street Address |
101 LOCUST AVE. |
| City | SPENCER |
| State | WV |
| Zip Code | 25276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019453 | Patricia Ann May | Technician | 3353 Lick Fork Road, Spencer, WV 25276 | 2017-12-20 |
| 1053518399 | Kelly Jean Fry | Naturopath | 142 East Main St., Spencer, WV 25276 | 2007-06-29 |
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1063509263 | Hospital Development Co. | Medicare Defined Swing Bed Unit | 200 Hospital Drive, Spencer, WV 25276 | 2006-10-07 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1669822011 | Julie M Morgan | Physician Assistant | 146 Williams Dr, Spencer, WV 25276 | 2016-06-16 |
| 1326331018 | David Elias Mick | Pharmacist | 218 Market St, Spencer, WV 25276 | 2011-05-27 |
| 1831228733 | Christopher Kyle Mealey | Pharmacist | 200 Hospital Drive, Spencer, WV 25276 | 2007-03-05 |
| 1093860256 | Roane County Emergency Squad, Inc. | Ambulance | 200 East Main Street, Spencer, WV 25276 | 2007-01-25 |
| 1679661474 | Staats Pharmacy and Health Care Inc | Durable Medical Equipment & Medical Supplies | 100 E Main St, Spencer, WV 25276 | 2006-10-10 |
| Find all providers in zip 25276 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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|---|---|---|---|---|
| 1417407735 | Greene Respiratory Services, Inc. | Durable Medical Equipment & Medical Supplies | 211 4th Ave, Huntington, WV 25701-1221 | 2016-10-11 |
| 1407224447 | Sleep Management LLC | Durable Medical Equipment & Medical Supplies | 447 Call Rd, Suite 211, Charleston, WV 25312-6026 | 2015-09-08 |
| 1104227602 | Custom Script Pharmacy | Durable Medical Equipment & Medical Supplies | 3738 Teays Valley Rd Ste C, Hurricane, WV 25526-9705 | 2014-09-16 |
| 1669810305 | Wecare Medical, LLC | Durable Medical Equipment & Medical Supplies | 1452 4th Ave, Huntington, WV 25701-2403 | 2013-06-04 |
| 1336406891 | Pulmonary Associates Incorporated | Durable Medical Equipment & Medical Supplies | 86 Pine Swamp Rd, Keyser, WV 26726-2655 | 2012-04-20 |
| 1467718098 | Wecare Medical LLC | Durable Medical Equipment & Medical Supplies | 9669 Seneca Trl S, Lewisburg, WV 24901-2630 | 2012-04-09 |
| 1275825911 | Hometown Medical LLC | Durable Medical Equipment & Medical Supplies | 190 Michigan Ave., Smithers, WV 25186-0011 | 2011-05-13 |
| 1437455730 | Defelicecare Inc | Durable Medical Equipment & Medical Supplies | 6118 Mid Atlantic Drive, Morgantown, WV 26508-4294 | 2011-02-03 |
| 1912208513 | Unitedcare LLC | Durable Medical Equipment & Medical Supplies | 2048 V I P Way, Suite 3, Fairmont, WV 26554-8474 | 2010-11-12 |
| 1366774002 | Magnacare | Durable Medical Equipment & Medical Supplies | 44 Sirocco Ct, Falling Waters, WV 25419-1490 | 2010-02-05 |
| Find all providers with the same taxonomy | ||||
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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.