Organization Active NPI

Enterprise Ambulance 2.0

  • Land Ambulance
  • Dickinson, TX
National Provider Identifier
1063276582
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ENTERPRISE AMBULANCE 2.0
Practice address
6000 Santo Park Rd
Dickinson, TX 77539-8279
Phone
(281) 979-9200
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Shellie Long
Title
Managing Partner
Phone
(281) 979-9200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6000 Santo Park Rd
Dickinson, TX 77539-8279

Mailing address

6000 Santo Park Rd
Dickinson, TX 77539-8279
Phone (281) 979-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240629000040 TX Part B Supplier - Ambulance Service Supplier 8820532997 Practice locations: Dickinson, TX

National Provider Directory

National Provider Directory

Locations

125 FM 2004 Rd
Unit 558
Lake Jackson, TX 77566
Phone (281) 979-9200

3101 Nasa Pkwy
Ste L
Seabrook, TX 77586
Phone (281) 979-9200

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1063276582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SANTO PARK RD",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775398279",
            "telephone_number": "281-979-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SANTO PARK RD",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775398279",
            "telephone_number": "281-979-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE AMBULANCE 2.0",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-979-9200"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.