Lifecare Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LIFECARE AMBULANCE LLC

Practice address

6423 Shelby View Dr Ste 112
Memphis, TN 38134-7614

Phone

(901) 372-0190

Fax

(901) 372-0160

NPI assigned

May 2, 2020

Organization subpart

No

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

Authorized official

Name

John J Herlihy

Title

Ceo

Phone

(847) 933-9348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1467073338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 SHELBY VIEW DR STE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347614",
            "telephone_number": "901-372-0190",
            "fax_number": "901-372-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6423 SHELBY VIEW DR STE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347614",
            "telephone_number": "901-372-0190",
            "fax_number": "901-372-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 Vulcan Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372113313",
            "country_code": "US",
            "telephone_number": "615-795-6767",
            "fax_number": "615-795-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10060 Highway 178 Unit 600",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386543271",
            "country_code": "US",
            "telephone_number": "901-372-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFECARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "HERLIHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-933-9348"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Memphis, TN
• Providers in Memphis, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.