Life Supply Corp

LBN: Life Supply Corp
Life Supply Corp is an health care organization with primary practice located at 280 Moody St , Ludlow MA 01056-1244. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Life Supply Corp can be contacted via phone (413) 593-5555, or through Smith, Joseph via phone (203) 239-1002.

Contact Information

Primary practice address
280 Moody St Ludlow MA 01056-1244
Fax: (413) 593-9530
Website:
Authorized official contact:
Name: Smith, Joseph

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1831192061
LBN Legal business name Life Supply Corp
DBA Doing business as
Authorized official Smith, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Jan 24th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831192061 NPPES
Connecticut MEDICAID 003104429
Connecticut MEDICAID 1537687
Connecticut Other 378354

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