Lake Ridge Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LAKE RIDGE FIRE PROTECTION DISTRICT

Doing business as

Lake Ridge Emergency Medical Services

Practice address

2301 W 47TH Ave
Gary, IN 46408-3642

Phone

(219) 838-5845

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Mona Parks

Title

Fiscal Officer

Phone

(219) 838-5845

Specialties & licenses 1

Addresses

Other names 1

• Lake Ridge Emergency Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1124734744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W 47TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464083642",
            "telephone_number": "219-838-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE RIDGE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "219-838-5845"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Ridge Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Ridge Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Labour of Love Healing Hands LLC
• Lamont Labroi
• Beverly Ann Lackey, REGISTERED NURSE
• Lake County Hospitalists, LLC
• Lake County Walker Medical
• Lake Ridge Schools
• Lakeshore Community Outreach Incorporation
• Lakeshore Psychiatry & Wellness
• Lashawn D Freeman DPM SC
• Mechelle Latiker

• Land Ambulance in Gary, IN
• Providers in Gary, IN by specialty
• Land Ambulance in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.