NPIMap

Organization Active NPI

Life Guard International, Inc.

  • Air Ambulance
  • Las Vegas, NV
National Provider Identifier
1831223486
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
LIFE GUARD INTERNATIONAL, INC.
Practice address
145 E Reno Ave
Suite E7
Las Vegas, NV 89119-1114
Phone
(702) 740-5952
Fax
(702) 740-5951
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Edward Van Horne
Title
Coo
Phone
(303) 495-1220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Air Ambulance 3416A0800X NV Primary

Addresses

Primary practice location

145 E Reno Ave
Suite E7
Las Vegas, NV 89119-1114

Mailing address

File 56141
Los Angeles, CA 90074-6141
Phone (702) 740-5952

Other identifiers 1

IdentifierTypeStateIssuer
003202175MedicaidNV

National Provider Directory

National Provider Directory

Locations

1410 Jet Stream Dr
Ste 150
Henderson, NV 89052
Phone (702) 740-5952

185 E Reno Ave
Ste B8B
Las Vegas, NV 89119
Phone (702) 740-5952

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1831223486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 56141",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900746141",
            "telephone_number": "702-740-5952",
            "fax_number": "702-740-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E RENO AVE",
            "address_2": "SUITE E7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891191114",
            "telephone_number": "702-740-5952",
            "fax_number": "702-740-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GUARD INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN HORNE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-495-1220"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003202175",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.