MEDICARE: LIFEHME, 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	3336L0003X	Long Term Care Pharmacy	50005119	SC
2	332BX2000X	Oxygen Equipment & Supplies (DME)	032371718	SC

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649228909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEHME, INC.

Provider Business Mailing Address
First Line	:	555 E NORTH LN STE 5075
Second Line	:
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	454 BERRYHILL RD STE A
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-6447
Country	:	US
Telephone Number	:	803-254-8775
Fax Number	:	866-717-0782

Authorized Official
Title or Position	:	CCO
Name	:	WENDY RUSSALESI
Credential	:
Telephone Number	:	484-246-9499

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/14/2025

Similar Medicare Providers

1457304461 — PAL-MED, LLC
Practice Location Address:

454 BERRYHILL RD STE B
COLUMBIA, SC
29210-6447

Practice Phone: 803-791-9013
Practice Fax: 803-791-9019

1346313103 — SLEEP RX, INC
Practice Location Address:

454 BERRYHILL RD
COLUMBIA, SC
29210-6447

Practice Phone: 803-358-0158
Practice Fax: 803-358-0168

1619163953 — SLEEP RX
Practice Location Address:

454 BERRYHILL RD
COLUMBIA, SC
29210-6447

Practice Phone: 803-358-0158
Practice Fax: 803-358-0168

1861743981 — TONYA ROWLAND
Practice Location Address:

454 BERRYHILL RD
COLUMBIA, SC
29210-6447

Practice Phone: 803-217-1088
Practice Fax:

1437400553 — DR. CASEY CUSHMAN
Practice Location Address:

454 BERRYHILL RD , SUITE A
COLUMBIA, SC
29210-6447

Practice Phone: 803-217-1088
Practice Fax:

1497731236 — DR. TONY LAVELLE HUMPHRIES D. M. D.
Practice Location Address:

144 OLD HIGHWAY 98 E
COLUMBIA, MS
39429-6447

Practice Phone: 601-736-5681
Practice Fax: 601-736-5606

Directions to “LIFEHME, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.