CRITICAL CARE AMBULANCE LLC NPI 1104616952

NPI Information

  • NPI: 1104616952
  • Provider Name: CRITICAL CARE AMBULANCE LLC
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 11D2329270
  • Address: 1000 IRIS DR SW STE C1
    CONYERS, GA
    ZIP 30094
  • Phone: (404) 734-1094

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NPI Details

CRITICAL CARE AMBULANCE LLC is a land transport ambulance in Conyers, GA. CRITICAL CARE AMBULANCE LLC NPI is 1104616952. The provider is registered as an organization entity type.

The provider's business location address is:

1000 IRIS DR SW STE C1
CONYERS, GA
ZIP 30094-622
Phone: (404) 734-1094

The provider's authorized official is Deangelo Rowland .
The authorized official title is Owner and has the following contact phone number (404) 683-9907.

The CLIA number assigned to this NPI record is 11D2329270 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2025 and was last updated on 5/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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