Organization Active NPI

Above Average EMS LLC

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1003245093
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000853 Issued in TX
Legal business name
ABOVE AVERAGE EMS LLC
Practice address
8300 Bissonnet St Ste 528
Houston, TX 77074-3922
Phone
(281) 761-7611
Fax
(877) 310-0729
NPI assigned
Nov 11, 2013
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Mohamad Daaboul
Title
Owner
Phone
(281) 736-6768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000853 TX Primary

Addresses

Primary practice location

8300 Bissonnet St Ste 528
Houston, TX 77074-3922

Mailing address

8300 Bissonnet St Ste 528
Houston, TX 77074-3922
Phone (281) 761-7611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131223000717 TX Part B Supplier - Ambulance Service Supplier 9931336831 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Above Average EMS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8300 Bissonnet St
Ste 528
Houston, TX 77074
Phone (281) 736-6768

1951 NW Loop 410
Ste B108
San Antonio, TX 78213
Phone (281) 761-7611

NPI Registry JSON

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1003245093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST STE 528",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743922",
            "telephone_number": "281-761-7611",
            "fax_number": "877-310-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BISSONNET ST STE 528",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743922",
            "telephone_number": "281-761-7611",
            "fax_number": "877-310-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AVERAGE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "DAABOUL",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-736-6768"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.