Organization · Type 2 NPI

Lifecare Home Nursing, LLC

Durable Medical Equipment & Medical Supplies · Nacogdoches, TX

NPI number 1114081619 Active

Practice location

2618 North St
Nacogdoches, TX 75965-3501

Call (936) 560-3500 Map

Fax (936) 560-3505

Mailing address

1905 NE Stallings Dr Ste 5
Nacogdoches, TX 75961-3805

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	0068227 (TX)

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.

Other durable medical equipment & medical supplies providers in Nacogdoches

See all in Nacogdoches →

NPI record

NPI: 1114081619
Entity type: Organization (Type 2)
Issued: Dec 20, 2006
Last updated: May 24, 2021
Status: Active

Other names

<unavail>
Lifecare Respiratory & Medical Supply · doing business as
Lifecare Respiratory & Medical Supply · doing business as

Authorized official

Amy Lynette Wilcox
Administrator / CEO
(903) 297-9300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1114081619

Lifecare Home Nursing, LLC's National Provider Identifier is 1114081619, issued on Dec 20, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Nacogdoches, TX. The record was last updated on May 24, 2021.