TGW Superiorcare MTS LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TGW SUPERIORCARE MTS LLC

Practice address

4655 Walzem Rd
San Antonio, TX 78218-1610

Phone

(210) 852-0550

Fax

(210) 428-6270

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Aaron Salvador Castro

Title

Owner/Ceo

Phone

(210) 862-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• Superior Mobile Health Doing business as
• SuperiorCare Ambulance Doing business as
• SuperiorCare MTS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin Taccetta, EMT

  • Basic Emergency Medical Technician
  • San Antonio, TX
  • NPI 1689549602
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1316229677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 WALZEM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181610",
            "telephone_number": "210-852-0550",
            "fax_number": "210-428-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 WALZEM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181610",
            "telephone_number": "210-852-0550",
            "fax_number": "210-428-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGW SUPERIORCARE MTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "210-862-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304346501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Mobile Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SuperiorCare Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SuperiorCare MTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Havin Brent Thacker, RPH
• Justin Thacker
• Michelle Annette Thacker
• Bridget Yvonne Thackeray, D.O.

• Ambulance in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.