Skyline Ambulance Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000713 Issued in TX

Legal business name

SKYLINE AMBULANCE SERVICES LLC

Doing business as

Skyline EMS

Practice address

9700 Leawood Blvd
Suite 401
Houston, TX 77099-2657

Phone

(713) 448-9118

Fax

(682) 323-2856

NPI assigned

Oct 24, 2011

Organization subpart

No

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

Authorized official

Name

Mathilda H Ngallo

Title

Owner

Phone

(713) 448-9118

Specialties & licenses 1

Addresses

Other names 1

• SKYLINE EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1114203056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 LEAWOOD BLVD",
            "address_2": "SUITE 401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992657",
            "telephone_number": "713-448-9118",
            "fax_number": "682-323-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 LEAWOOD BLVD",
            "address_2": "SUITE 401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992657",
            "telephone_number": "713-448-9118",
            "fax_number": "682-323-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "NGALLO",
        "authorized_official_first_name": "MATHILDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-448-9118"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKYLINE EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.