Active NPI
Homestead Ambulance, LLC
- Land Ambulance
- Falfurrias, TX
National Provider Identifier
1063907657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181002003204 | TX | Part B Supplier - Ambulance Service Supplier | 2264784297 | Practice locations: Falfurrias, TX |
National Provider Directory
National Provider DirectoryNPI 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.