Organization Active NPI

Ambulnz TN LLC

Doing business as Ambulnz

  • Ambulance
  • Goodlettsville, TN
National Provider Identifier
1285113118
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
AMBULNZ TN LLC
Doing business as
Ambulnz
Practice address
210 Connell St
Goodlettsville, TN 37072-1431
Phone
(877) 581-2842
NPI assigned
Aug 10, 2018
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Robert Mbonye
Title
Director of Finance
Phone
(585) 278-0502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

210 Connell St
Goodlettsville, TN 37072-1431

Mailing address

685 3Rd Ave FL 9
New York, NY 10017-4151
Phone (424) 307-0744

Other practice location 1

219 Blanton Ave
Nashville, TN 37210-4703
Phone (424) 307-0744

Other practice location 2

102 Woodmont Blvd Ste 240
Nashville, TN 37205-5204
Phone (424) 307-0744

Other names 1

  • Ambulnz Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314002032 TN Part B Supplier - Ambulance Service Supplier 6709126576 Practice locations: Goodlettsville, TN

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
44D2157485Ambulnz TN, LLC210 Connell Street, Goodlettsville, TN 37072Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Locations

210 Connell St
Goodlettsvlle, TN 37072
Phone (212) 273-9770

102 Woodmont Blvd
Ste 240
Nashville, TN 37205
Phone (424) 307-0744

217 Blanton Ave
Ste 219
Nashville, TN 37210

219 Blanton Ave
Nashville, TN 37210
Phone (424) 307-0744

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1285113118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 3RD AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174151",
            "telephone_number": "424-307-0744",
            "fax_number": "303-733-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CONNELL ST",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721431",
            "telephone_number": "877-581-2842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Blanton Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372104703",
            "country_code": "US",
            "telephone_number": "424-307-0744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Woodmont Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372055204",
            "country_code": "US",
            "telephone_number": "424-307-0744",
            "fax_number": "303-733-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBULNZ TN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "MBONYE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "585-278-0502"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulnz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.