Organization Active NPI

Unicare EMS LLC

  • Ambulance
  • Beaumont, TX
National Provider Identifier
1710428800
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000913 Issued in TX
Legal business name
UNICARE EMS LLC
Practice address
1310 Interstate 10 S
203
Beaumont, TX 77707-4400
Phone
(832) 728-4840
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Johnson Ambroise
Title
Owner
Phone
(832) 728-4840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000913 TX Primary

Addresses

Primary practice location

1310 Interstate 10 S
203
Beaumont, TX 77707-4400

Mailing address

PO Box 36428
Houston, TX 77236-6428

Other identifiers 1

IdentifierTypeStateIssuer
366585301MedicaidTX

National Provider Directory

National Provider Directory

Locations

1310 Interstate 10 S
Ste 203
Beaumont, TX 77707
Phone (832) 728-4840

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1710428800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36428",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772366428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 INTERSTATE 10 S",
            "address_2": "203",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074400",
            "telephone_number": "832-728-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "AMBROISE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-728-4840"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366585301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.