Organization Active NPI

St. Louis Angels LLC

  • Land Ambulance
  • Roma, TX
National Provider Identifier
1497187702
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000902 Issued in TX
Legal business name
ST. LOUIS ANGELS LLC
Practice address
126 Eli St
Roma, TX 78584-6646
Phone
(956) 224-6198
Fax
(956) 847-4472
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Daisy L. GuerraNPI 1225460538
Title
Administrator
Phone
(956) 224-6198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000902 TX Primary

Addresses

Primary practice location

126 Eli St
Roma, TX 78584-6646

Mailing address

126 Eli St
Roma, TX 78584-6646
Phone (956) 224-6198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131223001605 TX Part B Supplier - Ambulance Service Supplier 6901033729 Practice locations: Roma, TX

National Provider Directory

National Provider Directory

Locations

126 Eli St
Roma, TX 78584
Phone (956) 224-6198

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1497187702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ELI ST",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785846646",
            "telephone_number": "956-224-6198",
            "fax_number": "956-847-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ELI ST",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785846646",
            "telephone_number": "956-224-6198",
            "fax_number": "956-847-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-224-6198"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.