NPIMap

Organization Active NPI

Lifeguard Ambulance Service of Texas LLC

  • Ambulance
  • Addison, TX
National Provider Identifier
1396003513
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000665 Issued in TX
Legal business name
LIFEGUARD AMBULANCE SERVICE OF TEXAS LLC
Practice address
4951 Airport Parkway
Suite 710
Addison, TX 75001-6616
Phone
(205) 380-2065
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
John W Roche
Title
Ceo/Owner
Phone
(205) 949-1719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000665 TX Primary

Addresses

Primary practice location

4951 Airport Parkway
Suite 710
Addison, TX 75001-6616

Mailing address

PO Box 11361
Birmingham, AL 35202-1361

National Provider Directory

National Provider Directory
Tax ID family
Lifeguard Ambulance Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1396003513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11361",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 AIRPORT PARKWAY",
            "address_2": "SUITE 710",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016616",
            "telephone_number": "205-380-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD AMBULANCE SERVICE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "205-949-1719"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.