Organization Active NPI

Honorable EMS Inc

  • Land Ambulance
  • Ellenwood, GA
National Provider Identifier
1003231721
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1 Issued in GA
Legal business name
HONORABLE EMS INC
Practice address
5514 Frontier CT
Ellenwood, GA 30294-4387
Phone
(404) 670-3858
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Tony Kim
Title
Ceo
Phone
(404) 670-3858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1 GA Primary

Addresses

Primary practice location

5514 Frontier CT
Ellenwood, GA 30294-4387

Mailing address

5514 Frontier CT
Ellenwood, GA 30294-4387
Phone (404) 670-3858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1003231721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 FRONTIER CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944387",
            "telephone_number": "404-670-3858",
            "fax_number": "678-759-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 FRONTIER CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944387",
            "telephone_number": "404-670-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONORABLE EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-670-3858"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.