Lifestar Response of Alabama, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1039 Issued in AL

Legal business name

LIFESTAR RESPONSE OF ALABAMA, INC.

Practice address

1150 Panama St. South
Montgomery, AL 36107-2704

Phone

(800) 449-4911

Fax

(334) 262-2538

NPI assigned

Sep 29, 2005

Organization subpart

Yes

Parent organization

FALCK EMS CORPAs reported in NPPES

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

Authorized official

Name

Mr. Charles Maymon

Title

Regional Ceo

Phone

(954) 868-6668

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1285621797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530481",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530481",
            "telephone_number": "888-876-2100",
            "fax_number": "888-790-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PANAMA ST. SOUTH",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072704",
            "telephone_number": "800-449-4911",
            "fax_number": "334-262-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR RESPONSE OF ALABAMA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALCK EMS CORP",
        "enumeration_date": "2005-09-29",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "MAYMON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "REGIONAL CEO",
        "authorized_official_telephone_number": "954-868-6668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "003074",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051103",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Lieux, D.D.S.
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• John Philip Lightfoot, D.M.D.
• Lighthouse Counseling Center
• Like Family Inc.
• Patricia K Lillis, MD
• Gerald Lim, MD

• Land Ambulance in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.