LIFESTAR RESPONSE OF ALABAMA (NPI# 1871576793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871576793 |
| Entity Type | Organization |
| Organization Name | LIFESTAR RESPONSE OF ALABAMA |
| Other Organization Name | CARE AMBULANCE |
| Practice Address |
4745 Hugh Howell Rd. Tucker GA 30085-5007 |
| Mailing Address |
Box 530492 Atlanta GA 30353-0492 |
| Practice Telephone | 6314472800 |
| Practice Fax Number | 6314472808 |
| Mailing Telephone | 6314472800 |
| Mailing Fax Number | 6314472808 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2009-07-30 |
| Authorized Official Name | JON COLIN (CEO) |
| Authorized Official Telephone | 9738127271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
106-08 | GA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 400391507A | 05 |
| Other Name | Type Code |
|---|---|
| CARE AMBULANCE | Doing Business As Name - Organization |
| Street Address |
4745 HUGH HOWELL RD. |
| City | TUCKER |
| State | GA |
| Zip Code | 30085-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1588263917 | 963 Hz LLC | Home Health | 621 Arbor Cir, Tucker, GA 30084-3061 | 2020-10-17 |
| 1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
| 1376140426 | Moandra Johnson | Marriage & Family Therapist | 2037 Weems Rd Apt 6201, Tucker, GA 30084-5263 | 2020-10-01 |
| 1356957989 | Sherryl Saunders | Massage Therapist | 1018 Oak Chase Dr Apt L, Tucker, GA 30084-8792 | 2020-09-18 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1992319271 | Jillian Nicole Felton | Dentist | 4070 Lavista Rd Ste 102, Tucker, GA 30084-5228 | 2020-09-03 |
| 1003428764 | Jessica Ringsmuth | Counselor | 2376 Main St Ste A, Tucker, GA 30084-4492 | 2020-08-23 |
| 1902418247 | Shawnquita L. Shedrick | Counselor | 1462 Montreal Rd Ste 118, Tucker, GA 30084-6904 | 2020-08-18 |
| Find all providers in TUCKER | ||||
| 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 |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1679018246 | Ambu-link LLC | Ambulance | 2088 Idlewood Rd Ste 5, Tucker, GA 30084-6264 | 2017-01-05 |
| 1942583356 | Care Plus Emergency Medical Services LLC | Ambulance | 2183 Northlake Pkwy, Suite 102, Tucker, GA 30084-4108 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254660 | South Ga Ambulance LLC | Ambulance | 855 W Golden Isles Hwy, Mc Rae Helena, GA 31037-3914 | 2020-10-28 |
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1508479502 | Alliance Transportation Services | Ambulance | 247 Carlyle Park Dr Ne, Atlanta, GA 30307-2883 | 2020-08-28 |
| 1942812714 | Sagrada Ambulance LLC | Ambulance | 300 W I Pkwy # 203, Dallas, GA 30132-5079 | 2020-08-21 |
| 1689286866 | Med-trak LLC | Ambulance | 2395 Wall St Se Ste 195, Conyers, GA 30013-6703 | 2020-08-19 |
| 1952929523 | Hope Medical Transport Services | Ambulance | 101 Park 42 Dr Ste F, Locust Grove, GA 30248-2559 | 2020-07-10 |
| 1750908372 | 1st Class Ambulance | Ambulance | 5515 Riverdale Rd Ste B, College Park, GA 30349-6449 | 2020-06-30 |
| 1518588250 | B and D Medical Transportation | Ambulance | 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 | 2020-05-05 |
| 1043831241 | Health Investment Group Inc | Ambulance | 1331 Wynnton Ct, Columbus, GA 31906-2140 | 2020-04-29 |
| 1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
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| 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.