Organization Active NPI

Lifetime EMS Inc

  • Land Ambulance
  • Garland, TX
National Provider Identifier
1962521401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
800114 Issued in TX
Legal business name
LIFETIME EMS INC
Practice address
6567 Duck Creek Dr
Garland, TX 75043-3644
Phone
(972) 303-3901
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul A Emordi
Title
Owner
Phone
(972) 303-3901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 800114 TX Primary

Addresses

Primary practice location

6567 Duck Creek Dr
Garland, TX 75043-3644

Mailing address

6567 Duck Creek Dr
Garland, TX 75043-3644
Phone (972) 303-3901

Other identifiers 1

IdentifierTypeStateIssuer
1797995MedicaidTX

National Provider Directory

National Provider Directory

Locations

6567 Duck Creek Dr
Garland, TX 75043
Phone (972) 303-3901

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962521401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 DUCK CREEK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433644",
            "telephone_number": "972-303-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 DUCK CREEK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433644",
            "telephone_number": "972-303-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMORDI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-303-3901"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "800114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797995",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.