Organization Active NPI

FC Pro Services

  • Non-emergency Medical Transport (VAN)
  • Fort Myers, FL
National Provider Identifier
1346856606
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FC PRO SERVICES
Doing business as
Lifeline Medical Transport
Practice address
8148 Gull LN
Fort Myers, FL 33967-3407
Phone
(239) 848-9969
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Authorized official

Name
Mr. Fritz Cadichon
Title
Owner
Phone
(239) 848-9969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

8148 Gull LN
Fort Myers, FL 33967-3407

Mailing address

8148 Gull LN
Fort Myers, FL 33967-3407
Phone (239) 848-9969

Other identifiers 1

IdentifierTypeStateIssuer
751936MedicaidFL

Other names 1

  • Lifeline Medical Transport Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1346856606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8148 GULL LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673407",
            "telephone_number": "239-848-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8148 GULL LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673407",
            "telephone_number": "239-848-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC PRO SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "CADICHON",
        "authorized_official_first_name": "FRITZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-848-9969",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751936",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

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