Resq Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RESQ AMBULANCE SERVICE LLC

Practice address

4230 Canton Hwy
Cumming, GA 30040-4842

Phone

(734) 634-9185

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Quentin Smythe, EMT-B/CCMA

Title

Owner

Phone

(734) 634-9185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1477339752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 HOWARD RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405210",
            "telephone_number": "734-634-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 CANTON HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300404842",
            "telephone_number": "734-634-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESQ AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "SMYTHE",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-634-9185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-B/CCMA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Cumming, GA
• Providers in Cumming, GA by specialty
• Land Ambulance in Georgia

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