LIFESTATION, INC.

Provider Demographics

• NPI: 1841448404
• Name: LIFESTATION, INC.
• Entity type: Organization
• Organization Name: LIFESTATION, INC.
• Authorized Official - Title/Position: VICE PRESIDENT
• Authorized Official - Prefix: MR
• Authorized Official - First Name: DANIEL
• Authorized Official - Middle Name: JOSHUA
• Authorized Official - Last Name: OPPENHEIM
• Authorized Official - Phone: 800-446-3300
• Mailing Address - Street 1: 2 STAHUBER AVE
• Mailing Address - City: UNION
• Mailing Address - State: NJ
• Mailing Address - Zip Code: 07083
• Mailing Address - Country: US
• Mailing Address - Phone: 800-446-3300
• Mailing Address - Fax: 866-725-8677
• Practice Address - Street 1: 2 STAHUBER AVE
• Practice Address - City: UNION
• Practice Address - State: NJ
• Practice Address - Zip Code: 07083
• Practice Address - Country: US
• Practice Address - Phone: 800-446-3300
• Practice Address - Fax: 866-725-8677
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2008-09-08
• Last Update Date: 2024-10-08

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	333300000X	Suppliers	Emergency Response System Companies

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IL	1841448404	Medicaid
TX	S500402310	Medicaid
NJ	1841448404	Medicaid
GA	003107748B	Medicaid
OH	0062366	Medicaid
AZ	093121	Medicaid
ID	1841448404	Medicaid
KS	200597050A	Medicaid
SC	EN1122	Medicaid
FL	118430100	Medicaid
NV	250009323	Medicaid
IN	30023151	Medicaid
GA	003107748A	Medicaid
VA	1841448404	Medicaid
NM	1841448404	Medicaid
OR	500606712 (MCD)	Medicaid
CO	9000200219	Medicaid
NY	03082226	Medicaid
NJ	0848450	Medicaid
IA	1841448404	Medicaid
NV	1841448404	Medicaid
AR	184487754	Medicaid
MD	7436033-00	Medicaid
WI	1841448404	Medicaid
DE	1841448404	Medicaid
TN	H445259	Medicaid
PA	1024173700002	Medicaid