Community Lifeteam, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COMMUNITY LIFETEAM, INC.

Practice address

1000 Paxton St
Harrisburg, PA 17104-1644

Phone

(717) 782-4699

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Debra G Messick

Title

Business Manager

Phone

(717) 848-4740

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1619994571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8700",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171058700",
            "telephone_number": "717-848-4740",
            "fax_number": "717-848-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PAXTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041644",
            "telephone_number": "717-782-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIFETEAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "MESSICK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "717-848-4740"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007001520003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007001520006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Clinical Group, Inc.
• Commonwealth Clinical Group, Inc.
• Communication Beginnings LLC
• Community Check - Up Center
• Community Check-Up Center of South Harrisburg Inc
• Community Medical Associates
• Community Medical Associates - Harrisburg
• Comp Rehab
• Compassionate Care Hospice, Inc
• Complete Homecare Holdings LLC

• Land Ambulance in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.