Heart to Heart Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HEART TO HEART MEDICAL TRANSPORT LLC

Practice address

2592 S Hairston Rd Ste 102
Decatur, GA 30035-2917

Phone

(679) 696-1583

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Deandre Kimpson

Title

Ceo

Phone

(678) 696-1583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1124613559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 S HAIRSTON RD STE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352917",
            "telephone_number": "679-696-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 S HAIRSTON RD STE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352917",
            "telephone_number": "679-696-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "KIMPSON",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-696-1583"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Decatur, GA
• Providers in Decatur, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.