Life Link EMS, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LIFE LINK EMS, LLC

Doing business as

Life Link EMS, LLC

Practice address

3500 N Decatur Rd # 106E
Scottdale, GA 30079-6816

Phone

(678) 860-1701

Fax

(866) 894-1551

NPI assigned

Mar 29, 2019

Last updated

Nov 20, 2024By 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

Abdi Aganje

Title

Owner

Phone

(678) 860-1701

Specialties & licenses 1

Addresses

Other names 1

• Life Link EMS, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1619438850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 BARBASHELA DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300881137",
            "telephone_number": "678-860-1701",
            "fax_number": "866-894-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N DECATUR RD # 106E",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300796816",
            "telephone_number": "678-860-1701",
            "fax_number": "866-894-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINK EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "AGANJE",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-860-1701"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Link EMS, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Link EMS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Scottdale, GA
• Providers in Scottdale, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.