Active NPI
Lifecare Ambulance LLC
- Ambulance
- Methuen, MA
National Provider Identifier
1528651189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LIFECARE AMBULANCE LLC
- Practice address
- 240 Pleasant St
Methuen, MA 01844-7134 - Phone
- (978) 905-5333
- NPI assigned
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Ngethe, RN, CCTM
- Title
- Director
- Phone
- (978) 905-5333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
240 Pleasant St
Methuen, MA 01844-7134
Mailing address
272 Broadway Unit 674
Methuen, MA 01844-8028
Phone (978) 905-5333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230501001009 | MA | Part B Supplier - Ambulance Service Supplier | 3779948559 | Practice locations: Methuen, MA |
| O20231005002785 | NH | Part B Supplier - Ambulance Service Supplier | 3779948559 | Practice locations: Portsmouth, NH; Bedford, NH; Fremont, NH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2319512 | Lifecare Ambulance LLC | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
272 Broadway
Unit 674
Methuen, MA 01844
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Methuen, MA
- NPI 1013288976
-
- Clinical Social Worker
- Methuen, MA
- NPI 1912097759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1528651189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 BROADWAY UNIT 674",
"city": "METHUEN",
"state": "MA",
"postal_code": "018448028",
"telephone_number": "978-905-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 PLEASANT ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018447134",
"telephone_number": "978-905-5333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "NGETHE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "978-905-5333",
"authorized_official_credential": "RN, CCTM"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.