Organization Active NPI

Homestead Ambulance, LLC

  • Land Ambulance
  • Falfurrias, TX
National Provider Identifier
1063907657
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HOMESTEAD AMBULANCE, LLC
Practice address
926 S Hwy 281
Falfurrias, TX 78355
Phone
(956) 227-4555
Fax
(361) 356-4399
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Mr. Christopher Michael Trigo
Title
Owner
Phone
(956) 227-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

926 S Hwy 281
Falfurrias, TX 78355

Mailing address

926 S Hwy 281
P.O. Box 624
Falfurrias, TX 78355
Phone (956) 227-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181002003204 TX Part B Supplier - Ambulance Service Supplier 2264784297 Practice locations: Falfurrias, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1063907657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 S HWY 281",
            "address_2": "P.O. BOX 624",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "78355",
            "telephone_number": "956-227-4555",
            "fax_number": "361-356-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S HWY 281",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "78355",
            "telephone_number": "956-227-4555",
            "fax_number": "361-356-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "TRIGO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-227-4555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falfurrias, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.