Organization Active NPI

Just Like Family Concierge Medical Transport Services, LLC

Doing business as Brewster Ambulance Service

  • Land Ambulance
  • Fort Myers, FL
National Provider Identifier
1629442165
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
=========OtherFLTAX ID
1629442165MedicaidFL

Other names 1

  • Brewster Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160414000852 FL Part B Supplier - Ambulance Service Supplier 0840598496 Practice locations: Fort Myers, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.