Organization Active NPI

Elite Industrial Services LLC

  • Land Ambulance
  • Semmes, AL
National Provider Identifier
1114508207
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ELITE INDUSTRIAL SERVICES LLC
Practice address
4525 Schillinger Rd N
Semmes, AL 36575-4627
Phone
(251) 465-0027
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Maddie Jones
Title
Ceo
Phone
(251) 465-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4525 Schillinger Rd N
Semmes, AL 36575-4627

Mailing address

4525 Schillinger Rd N
Semmes, AL 36575-4627
Phone (251) 465-0027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615001225 AL Part B Supplier - Ambulance Service Supplier 0042610941 Practice locations: Semmes, AL

National Provider Directory

National Provider Directory

Locations

4525 Schillinger Rd N
Semmes, AL 36575
Phone (251) 465-0027

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1114508207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SCHILLINGER RD N",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365754627",
            "telephone_number": "251-465-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SCHILLINGER RD N",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365754627",
            "telephone_number": "251-465-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INDUSTRIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MADDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-465-0027"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Semmes, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.