Active NPI
Essential Hands Ambulance Service
- Land Ambulance
- Stockbridge, GA
National Provider Identifier
1114642394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221101000557 | GA | Part B Supplier - Ambulance Service Supplier | 0446627640 | Practice locations: Stockbridge, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2249878 | Essential Hands Ambulance Service | Certificate of waiver | Jan 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.