Organization Active NPI

East Texas Support Services Inc

  • Non-emergency Medical Transport (VAN)
  • Jasper, TX
National Provider Identifier
1740558956
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EAST TEXAS SUPPORT SERVICES INC
Practice address
109 W Water St
Jasper, TX 75951-4423
Phone
(409) 384-8751
Fax
(409) 489-0289
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Teresa Janeaux
Title
Executive Administrator
Phone
(409) 384-8751

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

109 W Water St
Jasper, TX 75951-4423

Mailing address

PO Box 2440
Jasper, TX 75951-0026
Phone (409) 384-8751

National Provider Directory

National Provider Directory
Tax ID family
East Texas Support Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1740558956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2440",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759510026",
            "telephone_number": "409-384-8751",
            "fax_number": "409-489-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W WATER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514423",
            "telephone_number": "409-384-8751",
            "fax_number": "409-489-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "JANEAUX",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "409-384-8751"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.