Organization Active NPI

Lifeguard Ambulance Service of TX, LLC

  • Ambulance
  • Farmers Branch, TX
National Provider Identifier
1265586234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
057106 Issued in TX
Legal business name
LIFEGUARD AMBULANCE SERVICE OF TX, LLC
Practice address
4355 N Beltwood Pkwy
Farmers Branch, TX 75244-3214
Phone
(850) 262-0154
Fax
(850) 473-0159
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Roche
Title
President
Phone
(850) 473-6776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 057106 TX Primary

Addresses

Primary practice location

4355 N Beltwood Pkwy
Farmers Branch, TX 75244-3214

Mailing address

PO Box 1482
Gulf Breeze, FL 32562-1482
Phone (850) 262-0154

National Provider Directory

National Provider Directory

Locations

9205 Skillman St
Ste 112
Dallas, TX 75243
Phone (214) 341-2881

4355 N Beltwood Pkwy
Farmers Brnch, TX 75244
Phone (214) 353-7600

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265586234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325621482",
            "telephone_number": "850-262-0154",
            "fax_number": "850-473-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 N BELTWOOD PKWY",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443214",
            "telephone_number": "850-262-0154",
            "fax_number": "850-473-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD AMBULANCE SERVICE OF TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-473-6776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "057106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.