MEDICARE: LIFECARE SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	56287	CA
2	332B00000X	Durable Medical Equipment & Medical Supplies	56287	CA
3	332BX2000X	Oxygen Equipment & Supplies (DME)	56287	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	56287	OTHER	CA	HMDR

General Provider Information

NPI Number	:	1558413724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFECARE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	PO BOX 40700
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85274-0700
Country	:	US
Telephone Number	:	866-260-2230
Fax Number	:	858-444-2853

Provider Business Practice Location Address
First Line	:	3554 RUFFIN RD
Second Line	:	SUITE 100
City	:	SAN DIEGO
State	:	CA
Zip	:	92123
Country	:	US
Telephone Number	:	858-637-6300
Fax Number	:	858-576-5364

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM KEYS
Credential	:
Telephone Number	:	480-446-9010

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	08/06/2018

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Directions to “LIFECARE SOLUTIONS INC ” Practice Location

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