Organization Active NPI

Theresamp Enterprise LLC

  • Secured Medical Transport (VAN)
  • San Antonio, TX
National Provider Identifier
1679308704
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
THERESAMP ENTERPRISE LLC
Practice address
4518 Summer Fall
San Antonio, TX 78259-2057
Phone
(726) 233-9234
Fax
(210) 485-3890
NPI assigned
Sep 6, 2024
Organization subpart
Yes
Parent organization
THERESAMP ENTERPRISE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mrs. Theresa Monique Patrick
Title
Owner
Phone
(726) 233-9234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

4518 Summer Fall
San Antonio, TX 78259-2057

Mailing address

PO Box 591343
San Antonio, TX 78259-0116
Phone (726) 233-9234

Other names 1

  • Stellar Service Transportation Doing business as

National Provider Directory

National Provider Directory
Part of
Theresamp Enterprise LLC

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1679308704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591343",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590116",
            "telephone_number": "726-233-9234",
            "fax_number": "210-485-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 SUMMER FALL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592057",
            "telephone_number": "726-233-9234",
            "fax_number": "210-485-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESAMP ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERESAMP ENTERPRISE LLC",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "726-233-9234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Service Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stellar Service Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.