LIFECARE AMBULANCE, INC.
NPI 1790742781
Ambulance in Elyria, OH

Active since April 26, 2006CLIA 36D0724409 · Waiver
205 WEST AVENUE, ELYRIA, OH 44035(440) 323-6111(440) 365-2266 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifecare Ambulance, Inc. NPPES

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

LIFECARE AMBULANCE, INC. (NPI 1790742781) is a healthcare organization registered as an ambulance in Elyria, Ohio and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Peter C. Andre De La Porte, President, as its authorized official.

NPPES Registry Identity

NPI1790742781
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLIFECARE AMBULANCE, INC.
Location Address205 WEST AVENUEElyria, OH 44035-5309
Mailing Address640 Cleveland StreetElyria, OH 44035-4104 · (440) 323-6111 · Fax (440) 365-2266
Fax(440) 365-2266
Organization SubpartNo
Authorized OfficialPeter C. Andre De La PortePresident · (440) 323-6111
Enumeration DateApril 26, 2006
Last NPPES UpdateOctober 4, 2011
NPI 1790742781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
205 WEST AVENUE, Elyria, OH 44035

Other Identifiers 2

Medicare ID-Type Unspecified9219091OH
Medicaid0634648OH

Accepted Insurance

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 36D0724409

Lifecare Ambulance Inc · Elyria, OH
Active · expires Aug 31, 2026
CLIA Number36D0724409
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHerbert W. De La Porte
Laboratory Phone(440) 323-6111
Laboratory LocationLifecare Ambulance Inc640 Cleveland Street, Elyria, OH 44035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
16,637 services2,057 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
1,993 services1,383 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
1,099 services776 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.
907 services531 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
29 services29 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
20 services15 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 Ambulance, Inc.'s NPI number?

The NPI number for Lifecare Ambulance, Inc. is 1790742781. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Lifecare Ambulance, Inc. located?

Lifecare Ambulance, Inc. is located at 205 West Avenue, Elyria, OH 44035. The listed phone number is (440) 323-6111.

What is Lifecare Ambulance, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Lifecare Ambulance, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0724409) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifecare Ambulance, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lifecare Ambulance, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifecare Ambulance, Inc. was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.