Hope Emergency Medical Service, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05992 Issued in GA

Legal business name

HOPE EMERGENCY MEDICAL SERVICE, LLC

Practice address

311 12TH St W
Suite 3
Tifton, GA 31794-6967

Phone

(229) 396-4673

Fax

(229) 396-4674

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Allen Wayne Owens, EMT-P

Title

Owner

Phone

(229) 396-4673

Specialties & licenses 1

Addresses

Other names 1

• Hope EMS Doing business as

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

Locations

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1669710885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 12TH ST W",
            "address_2": "SUITE 3",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317946967",
            "telephone_number": "229-396-4673",
            "fax_number": "229-396-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 12TH ST W",
            "address_2": "SUITE 3",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317946967",
            "telephone_number": "229-396-4673",
            "fax_number": "229-396-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE EMERGENCY MEDICAL SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-396-4673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "05992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Jon Holme, M.D.
• April Lacarrie Holmes
• Bradley T Holt, PA
• Tina Hood, PA
• Julie Hooks, NP
• Rachel E Horn, DO
• William Leslie Hornback III, MD
• William Leslie Hornback IV, M.D.
• Tanique Shayan Howard-Boone, BSN, RN, RNC-NIC
• James Andrew Howard, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.