CRITICAL CARE AMBULANCE LLC
NPI 1104616952
Ambulance - Land Transport in Conyers, GA
NPI Status: Active since May 06, 2025
Contact Information
1000 IRIS DR SW STE C1
CONYERS, GA
ZIP 30094
Phone: (404) 734-1094
- Organization
- Ambulance
- Land Transport
- CLIA Number: 11D2329270
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 08-25-2027
About CRITICAL CARE AMBULANCE LLC
This page provides the complete NPI Profile along with additional information for Critical Care Ambulance Llc, a provider established in Conyers, Georgia operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1104616952 assigned on May 2025. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Deangelo Rowland (Owner)
- NPI
- 1104616952
- Provider Name
- CRITICAL CARE AMBULANCE LLC
- Entity Type
- Organization
- Location Address
- 1000 IRIS DR SW STE C1 CONYERS, GA 30094
- Location Phone
- (404) 734-1094
- Mailing Address
- 6502 ALLATOONA RD MORROW, GA 30260
- Mailing Phone
- (404) 683-9907
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2025
- Last Update Date
- 05-06-2025
- Code Navigator
Location Map
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
Ambulance Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2329270
- Facility Type
- Ambulance
- Certificate Effective Date
- August 26, 2025
- Certificate Expiration Date
- August 25, 2027
- Laboratory Director
- LEE WILKES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Critical Care Ambulance Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CRITICAL CARE AMBULANCE LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104616952, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104616952, enumerated as an "organization" on May 06, 2025.
The provider is located at 1000 IRIS DR SW STE C1 CONYERS, GA 30094 and the phone number is (404) 734-1094.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
