Active NPI
Villa Ambulance Services LLC
- Ambulance
- Laredo, TX
National Provider Identifier
1114319332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1000603
- Legal business name
- VILLA AMBULANCE SERVICES LLC
- Practice address
- 1819 San Eduardo Ave
Laredo, TX 78040-3854 - Phone
- (956) 568-2916
- Fax
- (956) 441-0177
- NPI assigned
- Feb 25, 2015
- Reactivated
- Jun 17, 2024
- Last updated
- Aug 14, 2024
- 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. Baldomero Bondoc
- Title
- Owner
- Phone
- (956) 568-2916
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1000603 | TX | Primary |
Addresses
Primary practice location
1819 San Eduardo Ave
Laredo, TX 78040-3854
Mailing address
1819 San Eduardo
Laredo, TX 78040-3854
Phone (956) 568-2916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120419000660 | TX | Part B Supplier - Ambulance Service Supplier | 0648431593 | Practice locations: Laredo, TX |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723593600000",
"number": "1114319332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 SAN EDUARDO",
"city": "LAREDO",
"state": "TX",
"postal_code": "780403854",
"telephone_number": "956-568-2916",
"fax_number": "956-441-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 SAN EDUARDO AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780403854",
"telephone_number": "956-568-2916",
"fax_number": "956-441-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLA AMBULANCE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-25",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"deactivation_date": "2024-05-30",
"reactivation_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "BONDOC",
"authorized_official_first_name": "BALDOMERO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-568-2916",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "1000603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.