Organization Active NPI

Choice Aid EMS LLC

  • Land Ambulance
  • Stafford, TX
National Provider Identifier
1003107764
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CHOICE AID EMS LLC
Practice address
4434 Bluebonnet Dr Ste 136
Stafford, TX 77477-2904
Phone
(832) 755-9111
Fax
(281) 806-5977
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdellatif Souhail, EMT-B
Title
Owner
Phone
(832) 755-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TX Primary

Addresses

Primary practice location

4434 Bluebonnet Dr Ste 136
Stafford, TX 77477-2904

Mailing address

PO Box 740572
Houston, TX 77274-0572
Phone (832) 755-9111

Other identifiers 2

IdentifierTypeStateIssuer
313804201MedicaidTX
1000624OtherTXSTATE

National Provider Directory

National Provider Directory

Locations

4434 Bluebonnet Dr
Ste 136
Stafford, TX 77477
Phone (832) 755-9111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1003107764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740572",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772740572",
            "telephone_number": "832-755-9111",
            "fax_number": "281-806-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 BLUEBONNET DR STE 136",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772904",
            "telephone_number": "832-755-9111",
            "fax_number": "281-806-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE AID EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "SOUHAIL",
        "authorized_official_first_name": "ABDELLATIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-755-9111",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313804201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1000624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.