Organization Active NPI

Jewel Ambulance Service Inc

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1578163499
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20201112000050 TX Part B Supplier - Ambulance Service Supplier 9234549783 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.