Organization Active NPI

Life Line Emergency Services LLC

  • Ambulance
  • Houston, TX
National Provider Identifier
1114113255
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000067 Issued in TX
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

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AMB928OtherTXBCBS OF TEXAS

Other names 1

  • LIFE LINE EMS LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.