Organization Active NPI

Medi-Lift of Ms, LLC

  • Non-emergency Medical Transport (VAN)
  • Gulfport, MS
National Provider Identifier
1568254191
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI-LIFT OF MS, LLC
Practice address
17200 Hwy 53
Gulfport, MS 39503
Phone
(228) 219-7107
NPI assigned
May 20, 2025
Organization subpart
Yes
Parent organization
MEDI-LIFT OF MS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Mr. Andre Faucha
Title
Owner
Phone
(228) 219-7107

Specialties & licenses 1

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

Addresses

Primary practice location

17200 Hwy 53
Gulfport, MS 39503

Mailing address

18243 Tulip CV
Gulfport, MS 39503-8157
Phone (228) 313-1090

National Provider Directory

National Provider Directory
Part of
Medi-Lift of Ms LLC

Locations

17200 Hwy 53
Gulfport, MS 39503
Phone (228) 219-7107

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1568254191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18243 TULIP CV",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038157",
            "telephone_number": "228-313-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 HWY 53",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-219-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-LIFT OF MS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDI-LIFT OF MS, LLC",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "FAUCHA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-219-7107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.