Lifeguard Ambulance Service LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LIFEGUARD AMBULANCE SERVICE LLC

Practice address

145 Medical Center Dr
Gaffney, SC 29340-4823

Phone

(864) 720-6884

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Eric Thomas

Title

SVP of Revenue Management

Phone

(833) 703-2294

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lifeguard Ambulance Service LLC

  dba Lifeguard Emergency Medical Services

  • Land Ambulance
  • Cheraw, SC
  • NPI 1407361512

  O20171218000021

  Same enrollment
• Lifeguard Ambulance Service LLC

  • Land Ambulance
  • Irmo, SC
  • NPI 1912359068

  O20171218000021

  Same enrollment
• Lifeguard Ambulance Service LLC

  • Land Ambulance
  • North Charleston, SC
  • NPI 1982198289

  O20171218000021

  Same enrollment

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lifeguard Ambulance Service LLC

  dba Lifeguard Emergency Medical Services

  • Land Ambulance
  • Cheraw, SC
  • NPI 1407361512
  NPPES parent name
• Lifeguard Ambulance Service LLC

  • Land Ambulance
  • Irmo, SC
  • NPI 1912359068
  NPPES parent name
• Lifeguard Ambulance Service LLC

  • Land Ambulance
  • North Charleston, SC
  • NPI 1982198289
  NPPES parent name

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1649820937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848408",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MEDICAL CENTER DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404823",
            "telephone_number": "864-720-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Landrum, MS,LAT,ATC,CISSN
• Santoshi Lattupally
• Ashley Lee
• Steven John Lewis, MD
• Life Provisions, LLC
• Limestone College (Limestone College Sports Medicine)
• Patty S Lippard, MA, CCS
• Johnea Littlejohn, LCSWA
• Victor Ross Locklear, DC
• Michael Dewayne Logan, MSW, MCJ, BCJ

• Ambulance in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Ambulance in South Carolina

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