Active NPI
Elite Industrial Services LLC
- Land Ambulance
- Semmes, AL
National Provider Identifier
1114508207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210615001225 | AL | Part B Supplier - Ambulance Service Supplier | 0042610941 | Practice locations: Semmes, AL |
National Provider Directory
National Provider DirectoryLocations
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.