Life EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

411005 Issued in MI

Legal business name

LIFE EMS INC

Practice address

1275 Cedar St NE
Grand Rapids, MI 49503-1378

Phone

(616) 458-0042

Fax

(616) 242-8825

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark D Meijer

Title

President/Owner

Phone

(616) 242-8805

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

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

• Life EMS of Ionia Co Inc

  • Land Ambulance
  • Ionia, MI
  • NPI 1366499527
  NPPES parent name

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1689621047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CEDAR ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031378",
            "telephone_number": "616-458-0042",
            "fax_number": "616-242-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 CEDAR ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031378",
            "telephone_number": "616-458-0042",
            "fax_number": "616-242-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "MEIJER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "616-242-8805",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MI",
            "license": "411005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004925",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Lietaert, CRNA
• Matthew C. Lieto, D.M.D
• David Francis Lieuwen, M.D.
• Suzanne Lieuwen, MSW, MPH
• Life Change Therapy LLC
• Life Guidance Services
• Life Guidance Servies
• Life Journey PLLC
• Life Styles Nutrition Services
• Life Support LLC

• Land Ambulance in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Land Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.