Life Link Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIFE LINK AMBULANCE SERVICE

Practice address

6820 Leslie Lewis Rd
Mullins, SC 29574-5897

Phone

(843) 902-7582

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Carl Staples Jr., DONPI 1265824809

Title

Ceo, Cmo

Phone

(843) 902-7582

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Carl Staples Jr., D.O.

  • Emergency Medicine Physician
  • Mullins, SC
  • NPI 1265824809
  NPD Authorized official

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1497597173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 LESLIE LEWIS RD",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295745897",
            "telephone_number": "843-902-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 LESLIE LEWIS RD",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295745897",
            "telephone_number": "843-902-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINK AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CEO, CMO",
        "authorized_official_telephone_number": "843-902-7582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Lewis
• Katie Atkinson Lewis, OTR/L
• Latoria Moniek Lewis, LPC-A, NBCC
• Life Enhancement Services of SC, LLC
• Life Enhancement Services, Inc
• Life-Savers Medical Transport,LLC
• Dwayne J Livigni, DO
• Living by Grace
• Roseanne Locklear
• Candida Maria Loiselle, FNP

• Land Ambulance in Mullins, SC
• Providers in Mullins, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.