Active NPI
Just Like Family Concierge Medical Transport Services, LLC
Doing business as Brewster Ambulance Service
- Land Ambulance
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- JUST LIKE FAMILY CONCIERGE MEDICAL TRANSPORT SERVICES, LLC
- Doing business as
- Brewster Ambulance Service
- Practice address
- 11820 Lacy LN
Fort Myers, FL 33966-1345 - Phone
- (239) 682-8907
- Fax
- (239) 537-9649
- NPI assigned
- Nov 20, 2015
- Last updated
- Apr 14, 2023
- 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
- Mark Brewster
- Title
- Owner
- Phone
- (617) 983-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | ||
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
11820 Lacy LN
Fort Myers, FL 33966-1345
Mailing address
11820 Lacy LN
Fort Myers, FL 33966-1345
Phone (239) 682-8907
Other practice location 1
1061 Collier Center Way Ste 1
Naples, FL 34110-8403
Phone (239) 682-8907
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ========= | Other | FL | TAX ID |
| 1629442165 | Medicaid | FL |
Other names 1
- Brewster Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160414000852 | FL | Part B Supplier - Ambulance Service Supplier | 0840598496 | Practice locations: Fort Myers, FL; Naples, FL |
National Provider Directory
National Provider DirectoryLocations
11820 Lacy Ln
Fort Myers, FL 33966
Phone (239) 682-8907
8821 Business Park Dr
Fort Myers, FL 33912
1061 Collier Center Way
Ste 1
Naples, FL 34110
Phone (239) 682-8907
3200 Bailey Ln
Ste 117
Naples, FL 34105
Phone (239) 431-9650
3200 Bailey Ln
Ste 119
Naples, FL 34105
Phone (239) 682-8907
3200 Bailey Ln
Ste 198
Naples, FL 34105
Phone (239) 682-8907
4500 Executive Dr
Ste 205
Naples, FL 34119
Phone (239) 682-8907
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1730102609
-
- Physical Therapist
- Naples, FL
- NPI 1508302563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1629442165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 LACY LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661345",
"telephone_number": "239-682-8907",
"fax_number": "239-431-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 LACY LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661345",
"telephone_number": "239-682-8907",
"fax_number": "239-537-9649"
}
],
"practiceLocations": [
{
"address_1": "1061 Collier Center Way Ste 1",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341108403",
"country_code": "US",
"telephone_number": "239-682-8907",
"fax_number": "239-431-9649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JUST LIKE FAMILY CONCIERGE MEDICAL TRANSPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-20",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "BREWSTER",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-983-1000"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "=========",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629442165",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brewster Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Brewster Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.