NPIMap

Organization Active NPI

Lifestar Emergency Services LLC

  • Ambulance
  • Winston Salem, NC
National Provider Identifier
1699907568
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0341525 Issued in NC
Legal business name
LIFESTAR EMERGENCY SERVICES LLC
Practice address
3475 Myer Lee Dr
Winston Salem, NC 27101-6209
Phone
(336) 722-5433
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Mr. Mike Hoots
Title
President
Phone
(336) 722-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0341525 NC Primary

Addresses

Primary practice location

3475 Myer Lee Dr
Winston Salem, NC 27101-6209

Mailing address

PO Box 429
Lewisville, NC 27023-0429
Phone (363) 722-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090918000254 NC Part B Supplier - Ambulance Service Supplier 5496801342 Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

325 N Broad St
Winston Salem, NC 27101
Phone (336) 722-5433

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1699907568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230429",
            "telephone_number": "363-722-5433",
            "fax_number": "336-722-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 MYER LEE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271016209",
            "telephone_number": "336-722-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR EMERGENCY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "HOOTS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-722-5433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "0341525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.