Active NPI
Premium Care EMS LLC
- Land Ambulance
- Houston, TX
National Provider Identifier
1720274368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000052
- Legal business name
- PREMIUM CARE EMS LLC
- Practice address
- 6000 Reims Rd
#3504
Houston, TX 77036-3006 - Phone
- (832) 859-2567
- Fax
- (888) 253-1293
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Damon R Willis
- Title
- Owner
- Phone
- (832) 859-2567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000052 | TX | Primary |
Addresses
Primary practice location
6000 Reims Rd
#3504
Houston, TX 77036-3006
Mailing address
6000 Reims Rd
Ste# 3504
Houston, TX 77036-3006
Phone (832) 859-2567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080317000092 | TX | Part B Supplier - Ambulance Service Supplier | 1951486851 | Practice locations: Stafford, TX |
National Provider Directory
National Provider DirectoryLocations
12763 Capricorn St
Ste 800
Stafford, TX 77477
Phone (832) 656-8570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1720274368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 REIMS RD",
"address_2": "STE# 3504",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363006",
"telephone_number": "832-859-2567",
"fax_number": "888-253-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 REIMS RD",
"address_2": "#3504",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363006",
"telephone_number": "832-859-2567",
"fax_number": "888-253-1293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM CARE EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "DAMON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-859-2567",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Premise Health of Texas Medical PA
- Premise Health of Texas Medical PA
- Premise Health of Texas Medical, P.a
- Premise Health of Texas Medical, P.a
- Premise Health of Texas Medical, P.a
- Premium DME Services Inc
- Premium Eyecare PLLC
- Premium Hands Healthcare Services LLC
- Premium Hearing AIDS
- Premium Home Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.