Space City EMS LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

800204 Issued in TX

Legal business name

SPACE CITY EMS LLC

Practice address

7999 Hansen Rd Ste 308
Houston, TX 77061-3450

Phone

(713) 944-4667

Fax

(713) 946-4888

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Fonseca

Title

Owner

Phone

(713) 944-4667

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275692287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7999 HANSEN RD STE 308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770613450",
            "telephone_number": "713-944-4667",
            "fax_number": "713-946-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7999 HANSEN RD STE 308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770613450",
            "telephone_number": "713-944-4667",
            "fax_number": "713-946-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE CITY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-944-4667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "800204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER STATE LICENSE",
            "identifier": "800204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Space Center Primary Care, PLLC
• Space Center Respiratory Equipment LLP
• Space Center Sa Services, Inc
• Space Center Sa Services, Inc
• Space City Audiology PLLC
• Space City Medicab
• Space City Medical
• Space City Radiology PLLC
• Space City Senior Care, LLC
• Space City Smiles

• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.