NPIMap

Organization Active NPI

Hope Ambulance LLC

  • Land Ambulance
  • Ellijay, GA
National Provider Identifier
1033469192
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
061-05 Issued in GA
Legal business name
HOPE AMBULANCE LLC
Practice address
1548 Old Hwy 5 South
Ellijay, GA 30540-5938
Phone
(866) 213-1275
Fax
(706) 273-7476
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Mr. Jackie Ellington, EMT-INPI 1841540754
Title
Owner
Phone
(706) 889-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 061-05 GA Primary

Addresses

Primary practice location

1548 Old Hwy 5 South
Ellijay, GA 30540-5938

Mailing address

P.O. Box 1725
Ellijay, GA 30540-0033
Phone (886) 213-1275

National Provider Directory

National Provider Directory

Locations

1548 Old Highway 5 S
Ellijay, GA 30540
Phone (866) 213-1275

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1033469192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1725",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305400033",
            "telephone_number": "886-213-1275",
            "fax_number": "706-273-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 OLD HWY 5 SOUTH",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405938",
            "telephone_number": "866-213-1275",
            "fax_number": "706-273-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-889-8199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "061-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.