Provider Demographics
NPI:1548582844
Name:LIFT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LIFT SOLUTIONS, LLC
Other - Org Name:HP MEDICAL SOLUTIONS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:TRIBBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-804-2759
Mailing Address - Street 1:2107 GWYNN OAK AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAWN
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6197
Mailing Address - Country:US
Mailing Address - Phone:410-944-0099
Mailing Address - Fax:410-944-3300
Practice Address - Street 1:2107 GWYNN OAK AVE
Practice Address - Street 2:
Practice Address - City:WOODLAWN
Practice Address - State:MD
Practice Address - Zip Code:21207-6197
Practice Address - Country:US
Practice Address - Phone:410-944-0099
Practice Address - Fax:410-944-3300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFT SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-28
Last Update Date:2010-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2876332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR2876OtherRESIDENTIAL SERVICE AGENCY, DME