Life Line EMS, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIFE LINE EMS, LLC

Practice address

4143 Bluebonnet Dr
Stafford, TX 77477-3909

Phone

(832) 203-8778

Fax

(832) 532-3697

NPI assigned

May 17, 2019

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nonye Ozonoh

Title

Manager

Phone

(832) 203-8778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1053977744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 BLUEBONNET DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773909",
            "telephone_number": "832-203-8778",
            "fax_number": "832-532-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 BLUEBONNET DR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773909",
            "telephone_number": "832-203-8778",
            "fax_number": "832-532-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "OZONOH",
        "authorized_official_first_name": "NONYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-203-8778"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Stafford, TX
• Providers in Stafford, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.