Lifestar Response of Alabama

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

106-08 Issued in GA

Legal business name

LIFESTAR RESPONSE OF ALABAMA

Practice address

4745 Hugh Howell Rd.
Tucker, GA 30085-5007

Phone

(631) 447-2800

Fax

(631) 447-2808

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Jon Colin

Title

Ceo

Phone

(973) 812-7271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARE AMBULANCE Doing business as

Locations

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1871576793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 530492",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530492",
            "telephone_number": "631-447-2800",
            "fax_number": "631-447-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 HUGH HOWELL RD.",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300855007",
            "telephone_number": "631-447-2800",
            "fax_number": "631-447-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAR RESPONSE OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "COLIN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-812-7271"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "106-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400391507A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leodez
• Teresa Lev - Sniegowski, PT
• Lori C. Levey, LCSW
• Gregory Alan Lewis, PTA
• Luisa A Liendo, M.D
• Lilac Wellness and Spa LLC
• Steven H. Lin, M.D.
• Je'Nine Lindie, RN
• Live Well Home Care, LLC
• Ethel London, LPC

• Land Ambulance in Tucker, GA
• Providers in Tucker, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.