Active NPI
Life Alarm Services, Inc
- Personal Emergency Response Attendant
- Martinez, GA
National Provider Identifier
1013130335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 020170
- Legal business name
- LIFE ALARM SERVICES, INC
- Practice address
- 4210 Columbia Rd
14B
Martinez, GA 30907-0401 - Phone
- (180) 078-0543
- Fax
- (706) 854-9787
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronnie L Perry
- Title
- President Ceo
- Phone
- (800) 780-5433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 020170 | GA | Primary |
Addresses
Primary practice location
4210 Columbia Rd
14B
Martinez, GA 30907-0401
Mailing address
4210 Columbia Rd
14B
Martinez, GA 30907-0401
Phone (180) 078-0543
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000635896D | Medicaid | GA | |
| 000635896C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
4210 Columbia Rd
Ste 14B
Martinez, GA 30907
Phone (706) 833-4201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493683200000",
"number": "1013130335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 COLUMBIA RD",
"address_2": "14B",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070401",
"telephone_number": "180-078-0543",
"fax_number": "706-854-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 COLUMBIA RD",
"address_2": "14B",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070401",
"telephone_number": "180-078-0543",
"fax_number": "706-854-9787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ALARM SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2017-05-02",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "RONNIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "18007805433",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Personal Emergency Response Attendant",
"state": "GA",
"license": "020170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635896D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635896C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.