Grace Ambulance Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GRACE AMBULANCE SERVICES LLC

Practice address

1335 Linden Ave
Halethorpe, MD 21227-2407

Phone

(443) 919-7778

Fax

(443) 919-7779

NPI assigned

Mar 6, 2019

Last updated

Mar 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mirabelle Tambe

Title

Administrator

Phone

(443) 919-7778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1689132953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 LINDEN AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272407",
            "telephone_number": "443-919-7778",
            "fax_number": "443-919-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 LINDEN AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272407",
            "telephone_number": "443-919-7778",
            "fax_number": "443-919-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AMBULANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "TAMBE",
        "authorized_official_first_name": "MIRABELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-919-7778"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.