Johnson Life Care, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1609 Issued in KY

Legal business name

JOHNSON LIFE CARE, INC

Doing business as

Johnson Life Care Ambulance

Practice address

310 West Main Street
Lynch, KY 40855

Phone

(606) 848-2861

Fax

(606) 848-2409

NPI assigned

Apr 21, 2006

Last updated

Nov 4, 2011By 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. Darrel Vanover, EMT

Title

Owner

Phone

(606) 848-2861

Specialties & licenses 1

Addresses

Other names 1

• Johnson Life Care Ambulance Doing business as

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1619933470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "LYNCH",
            "state": "KY",
            "postal_code": "408550728",
            "telephone_number": "606-848-2861",
            "fax_number": "606-848-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WEST MAIN STREET",
            "city": "LYNCH",
            "state": "KY",
            "postal_code": "40855",
            "telephone_number": "606-848-2861",
            "fax_number": "606-848-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON LIFE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "VANOVER",
        "authorized_official_first_name": "DARREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-848-2861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Life Care Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.