Active NPI
Roper St Francis Ancillary Services
Doing business as Roper Hospital LifeLink
- Ambulance
- North Charleston, SC
National Provider Identifier
1861131450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- ROPER ST FRANCIS ANCILLARY SERVICES
- Doing business as
- Roper Hospital LifeLink
- Practice address
- 5133 Rivers Ave
North Charleston, SC 29406-6338 - Phone
- (843) 402-1335
- Fax
- (843) 402-1228
- NPI assigned
- Jun 1, 2022
- Last updated
- Jun 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Ralston
- Title
- Director/Authorized Official
- Phone
- (419) 996-5119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
5133 Rivers Ave
North Charleston, SC 29406-6338
Mailing address
5133 Rivers Ave
North Charleston, SC 29406-6338
Phone (843) 402-1335
Other names 1
- Roper Hospital LifeLink
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220920002393 | SC | Part B Supplier - Ambulance Service Supplier | 9830574342 | Practice locations: North Charleston, SC |
National Provider Directory
National Provider Directory- Tax ID family
- Roper St Francis Ancillary Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Roper St Francis Home Health
- Home Health Agency
- Ladson, SC
- NPI 1508680844
-
dba Roper St Francis Hospice
- Community Based Hospice Care Agency
- Ladson, SC
- NPI 1912721267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655683200000",
"number": "1861131450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5133 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066338",
"telephone_number": "843-402-1335",
"fax_number": "843-402-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5133 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066338",
"telephone_number": "843-402-1335",
"fax_number": "843-402-1228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROPER ST FRANCIS ANCILLARY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "419-996-5119"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Roper Hospital LifeLink",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Charleston, SC
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners OB/GYN)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Laboratory)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners)
- Roper Saint Francis Physicians Network (Vascular Medicine and Wound Management Clinic)
- Roper Saint Francis Physicians Network (Lowcountry Hematology and Oncology)
- Aston J Rosenberg, CF-SLP
- Brian D. Rosenblatt, O.D.
- Charmis Alegria Ross, BSN RN CMSRN
- Kelsey Wilkins Rosser
- Pooya Rostami, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.