NPIMap

Organization Active NPI

Lifeguard Transportation Service

  • Ambulance
  • Slidell, LA
National Provider Identifier
1851445811
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
9110030 Issued in LA
Legal business name
LIFEGUARD TRANSPORTATION SERVICE
Practice address
1165 Robert Blvd
Slidell, LA 70458-2013
Phone
(850) 262-0154
Fax
(850) 473-0159
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Mr. John Roche
Title
President
Phone
(205) 380-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 9110030 LA Primary

Addresses

Primary practice location

1165 Robert Blvd
Slidell, LA 70458-2013

Mailing address

PO Box 1482
Gulf Breeze, FL 32562-1482
Phone (850) 262-0154

Other identifiers 1

IdentifierTypeStateIssuer
1652431MedicaidLA

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1851445811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325621482",
            "telephone_number": "850-262-0154",
            "fax_number": "850-473-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582013",
            "telephone_number": "850-262-0154",
            "fax_number": "850-473-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGUARD TRANSPORTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-380-2065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "LA",
            "license": "9110030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1652431",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.