LIFESTAR RESPONSE OF MARYLAND, INC (NPI# 1699774018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699774018 |
| Entity Type | Organization |
| Organization Name | LIFESTAR RESPONSE OF MARYLAND, INC |
| Practice Address |
10840 Guilford Rd Ste 404 Annapolis Junction MD 20701-1110 |
| Mailing Address |
Po Box 827284 Philadelphia PA 19182-7284 |
| Practice Telephone | 4102471178 |
| Practice Fax Number | 4105365476 |
| Mailing Telephone | 4102471178 |
| Mailing Fax Number | 4105365476 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | ADAM KOONTZ (REGIONAL CEO) |
| Authorized Official Telephone | 9294644888 |
| Is Organization Subpart | Y |
| Parent Organization Name | FALCK USA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
74 | MD | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 018652100 | 05 | |
| MD | 055000100 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LIFESTAR RESPONSE OF MARYLAND, INC. | 1517 West Braden Court, Orange, Ca 92868 |
| Street Address |
10840 GUILFORD RD STE 404 |
| City | ANNAPOLIS JUNCTION |
| State | MD |
| Zip Code | 20701-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104180249 | Heather Suzanne York | Orthopaedic Surgery | 10975 Guilford Rd, Annapolis Junction, MD 20701-1125 | 2012-07-03 |
| 1407320781 | Anh Viet Nguyen | Pharmacist | 9036 Junction Dr, Annapolis Junction, MD 20701-1130 | 2019-01-19 |
| 1629241567 | Mark Anderson | Pharmacist | 9036 Junction Dr, Annapolis Junction, MD 20701-1130 | 2008-04-11 |
| 1043349426 | Jennifer Wong | Pharmacist | 9036 Junction Dr, Annapolis Junction, MD 20701-1130 | 2007-03-03 |
| 1578175667 | Heartland Pharmacy of Maryland, LLC | Durable Medical Equipment & Medical Supplies | 9070 Junction Dr Ste E, Annapolis Junction, MD 20701-1141 | 2020-08-19 |
| 1841310208 | Alisea R. Crowley | Pharmacist | 9070 Junction Dr, Annapolis Junction, MD 20701-1141 | 2007-03-30 |
| 1659592418 | Khadijat Oluwawemimo Ibrahim | Pharmacy Technician | Neighborcare Pharmacy Services, 9036 Junction Drive, Annapolis Junction, Md, Laurel, MD 20701-1152 | 2007-05-01 |
| 1811073679 | Asco Healthcare LLC | Pharmacy | 9036 Junction Dr, Annapolis Junction, MD 20701-1152 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175667 | Heartland Pharmacy of Maryland, LLC | Durable Medical Equipment & Medical Supplies | 9070 Junction Dr Ste E, Annapolis Junction, MD 20701-1141 | 2020-08-19 |
| 1104180249 | Heather Suzanne York | Orthopaedic Surgery | 10975 Guilford Rd, Annapolis Junction, MD 20701-1125 | 2012-07-03 |
| 1841310208 | Alisea R. Crowley | Pharmacist | 9070 Junction Dr, Annapolis Junction, MD 20701-1141 | 2007-03-30 |
| 1811073679 | Asco Healthcare LLC | Pharmacy | 9036 Junction Dr, Annapolis Junction, MD 20701-1152 | 2006-10-27 |
| 1407320781 | Anh Viet Nguyen | Pharmacist | 9036 Junction Dr, Annapolis Junction, MD 20701-1130 | 2019-01-19 |
| 1629241567 | Mark Anderson | Pharmacist | 9036 Junction Dr, Annapolis Junction, MD 20701-1130 | 2008-04-11 |
| 1043349426 | Jennifer Wong | Pharmacist | 9036 Junction Dr, Annapolis Junction, MD 20701-1130 | 2007-03-03 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915035 | St Leonard Volunteer Fire and Rescue Company 7 Inc | Ambulance | 200 Calvert Beach Road, St Leonard, MD 20685 | 2020-09-04 |
| 1750916730 | Dunkirk Volunteer Fire Dept. and Rescue Squad | Ambulance | 3170 W Ward Rd, Dunkirk, MD 20754-3050 | 2020-03-10 |
| 1275164691 | Huntingtown Volunteer Fire Department Rescue Squad | Ambulance | 4030 Old Town Rd, Huntingtown, MD 20639-3035 | 2020-02-04 |
| 1922657881 | North Beach Volunteer Fire Department Inc | Ambulance | 8536 Bayside Rd, Chesapeake Beach, MD 20732-3311 | 2019-09-04 |
| 1235645995 | Harford County Maryland | Ambulance | 2220 Ady Rd, Forest Hill, MD 21050 | 2017-12-18 |
| 1285148346 | Chesapeake Medical Transport Services LLC | Ambulance | 3221 Old Washington Rd Ste 112, Waldorf, MD 20602-3202 | 2017-11-28 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1578077996 | Bryans Road Vol Fire Dept & Rescue Squad Inc | Ambulance | 3099 Livingston Rd, Bryans Road, MD 20616 | 2017-11-21 |
| 1083132682 | Chesapeake Ems of Maryland Inc. | Ambulance | 3219 Ady Rd., Street, MD 21154 | 2017-09-03 |
| 1477079879 | Allegany County County Commissioners | Ambulance | 701 Kelly Rd, Cumberland, MD 21502-2882 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | ANNAPOLIS JUNCTION |
| Zip Code | 20701 |
Please comment or provide details below to improve the information on LIFESTAR RESPONSE OF MARYLAND, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.