LIFEBOAT14LLC
NPI 1083929574
Non-emergency Medical Transport (VAN) in Roseville, CA

Active since August 09, 2010
218 ESTATES DR, ROSEVILLE, CA 95678(916) 521-8665 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Non-emergency Medical Transport (VAN)

About LIFEBOAT14LLC

This page provides the complete NPI Profile along with additional information for Lifeboat14llc, a provider established in Roseville, California operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1083929574 assigned on August 2010. The practitioner's primary taxonomy code is 343900000X with license number 3MMX839 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Petrus Hendrik Van Niekerk (Owner)

NPI
1083929574 Verify this NPI
Provider Name
LIFEBOAT14LLC
Entity Type
Organization
Location Address
218 ESTATES DR ROSEVILLE, CA 95678
Location Phone
(916) 521-8665
Mailing Address
133 PRIVETT CT ROSEVILLE, CA 95747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2010
Last Update Date
08-09-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
License No.
3MMX839
License State
CA
Taxonomy Description
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PETRUS HENDRIK VAN NIEKERK

Authorized Official Title
OWNER
Authorized Official Phone
(916) 521-8665

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083929574, enumerated as an "organization" on August 09, 2010.

The provider is located at 218 ESTATES DR ROSEVILLE, CA 95678 and the phone number is (916) 521-8665.

Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.