PRN Ambulance, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PRN AMBULANCE, LLC

Practice address

1945 Dr Bramblett Rd Ste 2
Cumming, GA 30028-2852

Phone

(678) 656-6477

Fax

(770) 470-2205

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Hector Osses, OWNERNPI 1952187940

Title

Owner

Phone

(678) 458-2713

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Hector Osses

  • Driver
  • Cumming, GA
  • NPI 1952187940
  NPD Authorized official
• Graciela Osses, RN

  • Registered Nurse
  • Cumming, GA
  • NPI 1790395697
  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1639911233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 DR BRAMBLETT RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300282852",
            "telephone_number": "678-656-6477",
            "fax_number": "770-470-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 DR BRAMBLETT RD STE 2",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300282852",
            "telephone_number": "678-656-6477",
            "fax_number": "770-470-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "OSSES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-458-2713",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Cumming, GA
• Providers in Cumming, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.