Active NPI
Jewel Ambulance Service Inc
- Land Ambulance
- Houston, TX
National Provider Identifier
1578163499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- JEWEL AMBULANCE SERVICE INC
- Practice address
- 6065 Hillcroft St Ste 327
Houston, TX 77081-1087 - Phone
- (346) 970-6505
- NPI assigned
- Oct 29, 2020
- Last updated
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oghenefejiro Dorcas Aluta
- Title
- Authorized Official
- Phone
- (346) 970-6505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
6065 Hillcroft St Ste 327
Houston, TX 77081-1087
Mailing address
6065 Hillcroft St Ste 327
Houston, TX 77081-1087
Phone (346) 970-6505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201112000050 | TX | Part B Supplier - Ambulance Service Supplier | 9234549783 | Practice locations: Sugar Land, TX |
National Provider Directory
National Provider DirectoryLocations
6065 Hillcroft Ave
Ste 327
Houston, TX 77081
Phone (346) 970-6505
12808 W Airport Blvd
Ste 324
Sugar Land, TX 77478
Phone (346) 970-6505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1578163499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 HILLCROFT ST STE 327",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811087",
"telephone_number": "346-970-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 HILLCROFT ST STE 327",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811087",
"telephone_number": "346-970-6505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWEL AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "ALUTA",
"authorized_official_first_name": "OGHENEFEJIRO",
"authorized_official_middle_name": "DORCAS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "346-970-6505"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.