Active NPI
Life Line Emergency Services LLC
- Ambulance
- Houston, TX
National Provider Identifier
1114113255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1000067
- Legal business name
- LIFE LINE EMERGENCY SERVICES LLC
- Practice address
- 8700 Commerce Park Dr
Ste 214
Houston, TX 77036-7497 - Phone
- (713) 773-3522
- Fax
- (713) 776-1977
- NPI assigned
- Sep 22, 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. Willie Lee Larry
- Title
- Ceo
- Phone
- (713) 773-3522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1000067 | TX | Primary |
Addresses
Primary practice location
8700 Commerce Park Dr
Ste 214
Houston, TX 77036-7497
Mailing address
2626 S. Loop West
Suite 340
Houston, TX 77054-5613
Phone (713) 669-1090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB928 | Other | TX | BCBS OF TEXAS |
Other names 1
- LIFE LINE EMS LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1114113255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 S. LOOP WEST",
"address_2": "SUITE 340",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545613",
"telephone_number": "713-669-1090",
"fax_number": "713-669-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 COMMERCE PARK DR",
"address_2": "STE 214",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367497",
"telephone_number": "713-773-3522",
"fax_number": "713-776-1977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE LINE EMERGENCY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-22",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "LARRY",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-773-3522",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "1000067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "AMB928",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFE LINE EMS LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.