Organization Active NPI

Lifestar Medical Transportation, LLC

  • Ambulance
  • North Providence, RI
National Provider Identifier
1285704783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LIFESTAR MEDICAL TRANSPORTATION, LLC
Practice address
19 Volturno St
North Providence, RI 02904-4912
Phone
(401) 305-3300
Fax
(401) 305-3302
NPI assigned
Nov 9, 2006
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. Greg Andrade, RN
Title
Director
Phone
(401) 305-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X RI Primary

Addresses

Primary practice location

19 Volturno St
North Providence, RI 02904-4912

Mailing address

19 Volturno St
North Providence, RI 02904-4912
Phone (401) 305-3300

National Provider Directory

National Provider Directory

Locations

19 Volturno St
North Providence, RI 02904
Phone (401) 225-5000

3 Industrial Dr
Unit C
Smithfield, RI 02917
Phone (401) 349-2000

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285704783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 VOLTURNO ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044912",
            "telephone_number": "401-305-3300",
            "fax_number": "401-305-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 VOLTURNO ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044912",
            "telephone_number": "401-305-3300",
            "fax_number": "401-305-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-305-3300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

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.