Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PURELIFE MEDICAL SUPPLY LLC
NPI 1104788298
Durable Medical Equipment & Medical Supplies in Austin, TX

Q: What is Purelife Medical Supply LLC's NPI number?

The NPI number for Purelife Medical Supply LLC is 1104788298. It was assigned to this organization in the NPPES registry on November 26, 2025.

Q: What is Purelife Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since November 26, 2025

5900 BALCONES DR # 9235, AUSTIN, TX 78731(469) 758-0055 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Nov 27, 2025 (2 updates tracked since 2025).

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About Purelife Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURELIFE MEDICAL SUPPLY LLC (NPI 1104788298) is a healthcare organization registered as a durable medical equipment & medical supplies in Austin, Texas and active in the NPI registry since November 2025. The organization lists Infant Coronado, Owner, as its authorized official.

NPPES Registry Identity

NPI1104788298

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePURELIFE MEDICAL SUPPLY LLC

Location Address5900 BALCONES DR # 9235Austin, TX 78731-4257

Mailing Address5900 Balcones Dr # 9235Austin, TX 78731-4257 · (469) 758-0055

Phone(469) 758-0055

Organization SubpartNo

Authorized OfficialInfant CoronadoOwner · (945) 346-9150

Enumeration DateNovember 26, 2025

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1104788298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

5900 BALCONES DR # 9235, Austin, TX 78731

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Purelife Medical Supply LLC's NPI number?

The NPI number for Purelife Medical Supply LLC is 1104788298. It was assigned to this organization in the NPPES registry on November 26, 2025.

Where is Purelife Medical Supply LLC located?

Purelife Medical Supply LLC is located at 5900 Balcones Dr # 9235, Austin, TX 78731. The listed phone number is (469) 758-0055.

What is Purelife Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Purelife Medical Supply LLC was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.