Organization Active NPI

Lucille Miller

  • Land Ambulance
  • San Antonio, TX
National Provider Identifier
1154633055
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000357 Issued in TX
Legal business name
LUCILLE MILLER
Doing business as
1 HEARTBEAT TRANSPORTATION SERVICE
Practice address
8034 Culebra Rd
Ste 109
San Antonio, TX 78251-1882
Phone
(210) 488-1834
Fax
(210) 468-0628
NPI assigned
Jul 8, 2010
Reactivated
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Authorized official

Name
Lucille Miller
Title
Owner
Phone
(832) 715-6087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000357 TX Primary

Addresses

Primary practice location

8034 Culebra Rd
Ste 109
San Antonio, TX 78251-1882

Mailing address

21531 Falvel Misty Dr
Spring, TX 77388-2513
Phone (832) 715-6087

Other identifiers 2

IdentifierTypeStateIssuer
219770901MedicaidTX
188723OtherTXSUPERIOR HEALTH PLAN

Other names 1

  • 1 HEARTBEAT TRANSPORTATION SERVICE Doing business as

National Provider Directory

National Provider Directory

Locations

3880 W Ledbetter Dr
Ste 108
Dallas, TX 75233
Phone (214) 623-9200

8034 Culebra Rd
Ste 109
San Antonio, TX 78251
Phone (210) 488-1834

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1154633055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21531 FALVEL MISTY DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773882513",
            "telephone_number": "832-715-6087",
            "fax_number": "210-468-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8034 CULEBRA RD",
            "address_2": "STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511882",
            "telephone_number": "210-488-1834",
            "fax_number": "210-468-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2012-12-22",
        "deactivation_date": "2012-10-18",
        "reactivation_date": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-715-6087"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219770901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "188723",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1 HEARTBEAT TRANSPORTATION SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.