Life Line Medical Transport.,LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

259395 Issued in OH

Legal business name

LIFE LINE MEDICAL TRANSPORT.,LLC

Doing business as

n/a

Practice address

2928 Westerville Rd
Columbus, OH 43224-4516

Phone

(614) 598-4177

Fax

(614) 414-6066

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mowlid Dalmar Awil

Title

Ceo

Phone

(614) 598-4177

Specialties & licenses 1

Addresses

Other names 1

• n/a Doing business as

Locations

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1609129048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 WESTERVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244516",
            "telephone_number": "614-598-4177",
            "fax_number": "614-414-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 WESTERVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432244516",
            "telephone_number": "614-598-4177",
            "fax_number": "614-414-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINE MEDICAL TRANSPORT.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "AWIL",
        "authorized_official_first_name": "MOWLID",
        "authorized_official_middle_name": "DALMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-598-4177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "259395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Life Support Behavioral Health, PLLC
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• Lifebridge Community Support LLC (Acti-Kare Responsive In-Home Care)

• Non-emergency Medical Transport (VAN) in Columbus, OH
• Providers in Columbus, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.