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LIFECARE RESPIRATORY & MEDICAL SUPPLY
NPI 1114081619
Durable Medical Equipment & Medical Supplies in Nacogdoches, TX

Active since December 20, 2006CLIA 45D0898276 · Waiver
2618 NORTH ST, NACOGDOCHES, TX 75965(936) 560-3500(936) 560-3505 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Lifecare Respiratory & Medical Supply NPPES

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

LIFECARE RESPIRATORY & MEDICAL SUPPLY (NPI 1114081619) is a healthcare organization registered as a durable medical equipment & medical supplies in Nacogdoches, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Amy Lynette Wilcox, Administrator / Ceo, as its authorized official.

NPPES Registry Identity

NPI1114081619
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLIFECARE HOME NURSING, LLC
Location Address2618 NORTH STNacogdoches, TX 75965-3501
Mailing Address1905 Ne Stallings Dr Ste 5Nacogdoches, TX 75961-3805 · (936) 560-3500 · Fax (936) 560-3505
Phone(936) 560-3500
Fax(936) 560-3505
Organization SubpartNo
Authorized OfficialAmy Lynette WilcoxAdministrator / Ceo · (903) 297-9300
Enumeration DateDecember 20, 2006
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1114081619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in TX · 0068227
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.
2618 NORTH ST, Nacogdoches, TX 75965
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Other Names 1

Doing Business AsLifecare Respiratory & Medical Supply

Other Identifiers 1

Medicaid162528703TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0898276

Lifecare Home Nursing, LLC · Longview, TX
Active · expires Feb 26, 2027
CLIA Number45D0898276
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorAmy L. Wilcox
Laboratory Phone(903) 297-9300
Laboratory LocationLifecare Home Nursing, LLC911 W Loop 281, Ste 204, Longview, TX 75604
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lifecare Home Nursing, LLC's NPI number?

The NPI number for Lifecare Home Nursing, LLC is 1114081619. It was assigned to this organization in the NPPES registry on December 20, 2006. The provider is doing business as Lifecare Respiratory & Medical Supply.

Where is Lifecare Home Nursing, LLC located?

Lifecare Home Nursing, LLC is located at 2618 North St, Nacogdoches, TX 75965. The listed phone number is (936) 560-3500.

What is Lifecare Home Nursing, LLC's specialty?

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

Does Lifecare Home Nursing, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0898276) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifecare Home Nursing, LLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.