Organization Active NPI

Lifecare Ambulance of Mississippi LLC

  • Ambulance
  • Olive Branch, MS
National Provider Identifier
1164025045
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LIFECARE AMBULANCE OF MISSISSIPPI LLC
Practice address
10060 Highway 178
Unit 600
Olive Branch, MS 38654-3271
Phone
(901) 372-0200
Fax
(901) 372-0170
NPI assigned
Nov 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Authorized official

Name
Mr. John J Herlihy
Title
Ceo
Phone
(847) 933-9348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

10060 Highway 178
Unit 600
Olive Branch, MS 38654-3271

Mailing address

3737 Chase Ave
Skokie, IL 60076-4008
Phone (847) 933-9348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JHERLIHY@LIFECAREAMB.COM Direct

National Provider Directory

National Provider Directory

Locations

10060 Highway 178
Unit 600
Olive Branch, MS 38654
Phone (901) 372-0190

Interoperability endpoints

  • Direct secure messaging: jherlihy@lifecareamb.com

NPI Registry JSON

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1164025045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 CHASE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764008",
            "telephone_number": "847-933-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 HIGHWAY 178",
            "address_2": "UNIT 600",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543271",
            "telephone_number": "901-372-0200",
            "fax_number": "901-372-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE AMBULANCE OF MISSISSIPPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "HERLIHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-933-9348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JHERLIHY@LIFECAREAMB.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10060 HIGHWAY 178",
            "address_2": "UNIT 600",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386543271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.