Healthsource EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000315 Issued in TX

Legal business name

HEALTHSOURCE EMS LLC

Practice address

20207 Broad Run LN
Richmond, TX 77407-6496

Phone

(281) 808-2628

Fax

(281) 265-1040

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Temitayo Ajayi

Title

President

Phone

(281) 808-2628

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1356674154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20207 BROAD RUN LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076496",
            "telephone_number": "281-808-2628",
            "fax_number": "281-265-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20207 BROAD RUN LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774076496",
            "telephone_number": "281-808-2628",
            "fax_number": "281-265-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "TEMITAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-808-2628"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "1000315",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health First Primary Care PLLC
• Health N Care Supplies
• Healthgenix Inc.
• Healthgenix LLC
• Healthscripts Specialty Pharmacy
• Healthwheels LLC
• Healthwork Global LLC
• Healthy Reflections Counseling
• Heartfelt Health Haven Inc
• Hearts on the Move

• Land Ambulance in Richmond, TX
• Providers in Richmond, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.