NPI Code Detail JSON Logo

1699575993 NPI number — LIFE TEAM LLC

NPI Number: 1699575993
Health Care Provider/Practitioner: LIFE TEAM LLC

Information about “1699575993” NPI (LIFE TEAM LLC) exists in 1699575993 in HTML format HTML  |  1699575993 in plain Text format TXT  |  1699575993 in PDF (Portable Document Format) PDF  |  1699575993 in an XML format XML  formats.

NPI Number : 1699575993 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699575993",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIFE TEAM LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 18533",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15236-0533",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-201-1968",
    "MailingAddressFaxNumber": "724-615-1448",
    "FirstLinePracticeLocationAddress": "520 CHURCH ST # A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LILLY",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15938-1166",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-201-1968",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/17/2025",
    "LastUpdateDate": "10/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ECKENRODE",
    "AuthorizedOfficialFirstName": "ASHLEY",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "814-201-1968",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "341600000X",
          "TaxonomyName": "Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3416L0300X",
          "TaxonomyName": "Land Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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