Organization Active NPI

American Splendor Group Inc

Doing business as American Advanced Care

  • Ambulance
  • Houston, TX
National Provider Identifier
1013556612
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
AMERICAN SPLENDOR GROUP INC
Doing business as
American Advanced Care
Practice address
3535 Briarpark Dr Ste 240
Houston, TX 77042-5247
Phone
(832) 868-0163
Fax
(713) 893-6272
NPI assigned
Dec 30, 2019
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Fadi Khaled Iirabi
Title
Ceo
Phone
(832) 868-0163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

3535 Briarpark Dr Ste 240
Houston, TX 77042-5247

Mailing address

PO Box 630931
Houston, TX 77263-0931
Phone (832) 868-0163

Other identifiers 1

IdentifierTypeStateIssuer
1001011OtherTXSTATE LICENSE

Other names 1

  • AMERICAN ADVANCED CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217000204 TX Part B Supplier - Ambulance Service Supplier 6709213598 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

3535 Briarpark Dr
Ste 240
Houston, TX 77042
Phone (832) 868-0163

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1013556612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630931",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772630931",
            "telephone_number": "832-868-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 BRIARPARK DR STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425247",
            "telephone_number": "832-868-0163",
            "fax_number": "713-893-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPLENDOR GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "IIRABI",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "KHALED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-868-0163"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1001011",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN ADVANCED CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMERICAN ADVANCED CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2020; 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.