LIFE GUARD MEDICAL SUPPLY
NPI 1750441499
Durable Medical Equipment & Medical Supplies in Grantsville, WV

Q: What is Life Guard Inc.'s NPI number?

The NPI number for Life Guard Inc. is 1750441499. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Life Guard Medical Supply.

Q: What is Life Guard Inc.'s specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Life Guard Inc. was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since December 11, 2006

JOHNSON STREET AND PINE CREEK ROAD, GRANTSVILLE, WV 26147(304) 354-9103(304) 354-9203 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Life Guard Medical Supply NPPES

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

LIFE GUARD MEDICAL SUPPLY (NPI 1750441499) is a healthcare organization registered as a durable medical equipment & medical supplies in Grantsville, West Virginia and active in the NPI registry since December 2006. The organization lists Matt Shively, V.p., as its authorized official.

NPPES Registry Identity

NPI1750441499

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameLIFE GUARD INC.

Location AddressJOHNSON STREET AND PINE CREEK ROADGrantsville, WV 26147

Mailing AddressJohnson Street And Pine Creek RoadGrantsville, WV 26147 · (304) 354-9103 · Fax (304) 354-9203

Phone(304) 354-9103

Fax(304) 354-9203

Organization SubpartNo

Authorized OfficialMatt ShivelyV.p. · (304) 665-2346

Enumeration DateDecember 11, 2006

Last NPPES UpdateJune 4, 2008

✔ NPI 1750441499 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 WV · NONE REQUIRED

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.

JOHNSON STREET AND PINE CREEK ROAD, Grantsville, WV 26147

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Other Names 1

Doing Business AsLife Guard Medical Supply

Other Identifiers 2

Medicare ID-Type Unspecified0235060007WV · Medicare Provider Number

Medicaid6202059000WV

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 Life Guard Inc.'s NPI number?

The NPI number for Life Guard Inc. is 1750441499. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Life Guard Medical Supply.

Where is Life Guard Inc. located?

Life Guard Inc. is located at Johnson Street And Pine Creek Road, Grantsville, WV 26147. The listed phone number is (304) 354-9103.

What is Life Guard Inc.'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 Life Guard Inc. was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.