Life Support Team Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LIFE SUPPORT TEAM INC

Practice address

363 Marion Ave
Mansfield, OH 44903-2064

Phone

(419) 462-1346

NPI assigned

Oct 25, 2013

Last updated

Mar 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas L Durbin, EMT-P

Title

President

Phone

(419) 462-1346

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1316375546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "448620111",
            "telephone_number": "419-462-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032064",
            "telephone_number": "419-462-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT TEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-462-1346",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Li, PHARMD
• Liberty Nursing Center of Mansfield, Inc. (Woodlawn Health Care and Rehabilitation)
• Liberty Nursing Centers of Mansfield
• Brooks Marie Liederbach, LPN
• Life Steps Inc
• Kirsten Lightel, RPH
• Paul Joseph Ligman, MD
• Amanda Nicole Lilly, CNP
• Deena Kay Liming, STNA
• Daniel Richard Lind, CNP

• Ambulance in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.