Organization Active NPI

Essential Hands Ambulance Service

  • Land Ambulance
  • Stockbridge, GA
National Provider Identifier
1114642394
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ESSENTIAL HANDS AMBULANCE SERVICE
Practice address
4340 N Henry Blvd Ste 160
Stockbridge, GA 30281-3679
Phone
(470) 563-4480
Fax
(770) 790-0550
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Carl Jones
Title
Ceo
Phone
(470) 563-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4340 N Henry Blvd Ste 160
Stockbridge, GA 30281-3679

Mailing address

4340 N Henry Blvd Ste 160
Stockbridge, GA 30281-3679
Phone (470) 563-4480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101000557 GA Part B Supplier - Ambulance Service Supplier 0446627640 Practice locations: Stockbridge, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2249878Essential Hands Ambulance Service4340 North Henry Blvd, Suite 160, Stockbridge, GA 30281Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Locations

4791 N Henry Blvd
Stockbridge, GA 30281

4340 N Henry Blvd
Ste 160
Stockbridge, GA 30281
Phone (470) 563-4480

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1114642394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 N HENRY BLVD STE 160",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813679",
            "telephone_number": "470-563-4480",
            "fax_number": "770-790-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 N HENRY BLVD STE 160",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813679",
            "telephone_number": "470-563-4480",
            "fax_number": "770-790-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HANDS AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-563-4480"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.