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LIFECARE MEDICAL TRANSPORT LLC
NPI 1639560832
Ambulance - Land Transport in Blairsville, GA

Active since February 09, 2015CLIA 11D2252218 · Waiver
112 FOXWOOD DR, BLAIRSVILLE, GA 30512(706) 994-3536 Get Directions Write a Review

NPPES record last updated: February 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifecare Medical Transport Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFECARE MEDICAL TRANSPORT LLC (NPI 1639560832) is a healthcare organization registered as a land transport in Blairsville, Georgia and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Anthony Joseph Olson, Member, as its authorized official.

NPPES Registry Identity

NPI1639560832
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLIFECARE MEDICAL TRANSPORT LLC
Location Address112 FOXWOOD DRBlairsville, GA 30512-4683
Mailing Address112 Foxwood DrBlairsville, GA 30512-4683
Phone(706) 994-3536
Organization SubpartNo
Authorized OfficialAnthony Joseph OlsonMember · (706) 994-3536
Enumeration DateFebruary 9, 2015
✔ NPI 1639560832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
112 FOXWOOD DR, Blairsville, GA 30512
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2252218

Lifecare Medical Transport, LLC · Blairsville, GA
Active · expires Feb 8, 2028
CLIA Number11D2252218
Laboratory TypeAmbulance
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorChristopher D. Wilcox
Laboratory Phone(844) 303-6060
Laboratory LocationLifecare Medical Transport, LLC2936 Blue Ridge Highway, Blairsville, GA 30512
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
20,224 services20 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
1,249 services20 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifecare Medical Transport LLC's NPI number?

The NPI number for Lifecare Medical Transport LLC is 1639560832. It was assigned to this organization in the NPPES registry on February 9, 2015.

Where is Lifecare Medical Transport LLC located?

Lifecare Medical Transport LLC is located at 112 Foxwood Dr, Blairsville, GA 30512. The listed phone number is (706) 994-3536.

What is Lifecare Medical Transport LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Lifecare Medical Transport LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2252218) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifecare Medical Transport LLC was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.