Provider Demographics
NPI:1932471398
Name:LIFE CARE EMS, LLC
Entity Type:Organization
Organization Name:LIFE CARE EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPA
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEENACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-922-0310
Mailing Address - Street 1:PO BOX 1111
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-1111
Mailing Address - Country:US
Mailing Address - Phone:740-355-2273
Mailing Address - Fax:
Practice Address - Street 1:1980 HARBOR HILLS DR
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-6650
Practice Address - Country:US
Practice Address - Phone:740-355-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance