Lifestar Response of Maryland, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

74 Issued in MD

Legal business name

LIFESTAR RESPONSE OF MARYLAND, INC

Practice address

10840 Guilford Rd Ste 414
Annapolis Junction, MD 20701-1110

Phone

(410) 247-1178

Fax

(410) 536-5476

NPI assigned

Jul 18, 2005

Last updated

Oct 20, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

KEYSTONE QUALITY TRANSPORT COMPANYAs reported in NPPES

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

Authorized official

Name

Justin Misner

Title

Coo

Phone

(610) 960-9171

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

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

Part of

Keystone Quality Transport

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Keystone Quality Transport Company

  • Land Ambulance
  • Springfield, PA
  • NPI 1548247455

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1699774018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 COMMERCE DR STE 715",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271641",
            "telephone_number": "410-290-8000",
            "fax_number": "410-381-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 GUILFORD RD STE 414",
            "city": "ANNAPOLIS JUNCTION",
            "state": "MD",
            "postal_code": "207011110",
            "telephone_number": "410-247-1178",
            "fax_number": "410-536-5476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Brenda Ln",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "DE",
            "postal_code": "199342282",
            "country_code": "US",
            "telephone_number": "410-290-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Commerce Dr Ste 715",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212271641",
            "country_code": "US",
            "telephone_number": "410-290-8000",
            "fax_number": "410-381-0426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 Northwood Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218017824",
            "country_code": "US",
            "telephone_number": "410-290-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3113 Ocean Gtwy",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216133470",
            "country_code": "US",
            "telephone_number": "410-290-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 Professional Pl Ste 112",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207852293",
            "country_code": "US",
            "telephone_number": "410-290-8000",
            "fax_number": "410-381-0426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 W Market St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199472344",
            "country_code": "US",
            "telephone_number": "410-290-8000",
            "fax_number": "410-381-0426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESTAR RESPONSE OF MARYLAND, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE QUALITY TRANSPORT COMPANY",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "MISNER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-960-9171"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250654570",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055000100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018652100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asco Healthcare LLC (Omnicare of Annapolis Junction)
• Marie Erin Coon, RPH
• Alisea R. Crowley, PHARMD
• Felix Fisher, PHARMD
• William H Legallee, PHARM.D.
• Evan Marlin
• Robert Dudley Matzelle
• Rachael Ross Owens, PHARMD, RPH
• Jennifer Wong, PHARMD
• Amie Nicole Wood, NRP

• Land Ambulance in Annapolis Junction, MD
• Providers in Annapolis Junction, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.