Organization Active NPI

Star Care EMS Corp

  • Land Ambulance
  • Norcross, GA
National Provider Identifier
1740790054
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
STAR CARE EMS CORP
Practice address
6500 McDonough Dr Ste C12
Norcross, GA 30093-1217
Phone
(480) 246-6997
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Mr. Mahad A Alasow
Title
Ceo
Phone
(480) 246-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6500 McDonough Dr Ste C12
Norcross, GA 30093-1217

Mailing address

6500 McDonough Dr Ste C12
Norcross, GA 30093-1217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171212001513 GA Part B Supplier - Ambulance Service Supplier 6901164391 Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1740790054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 MCDONOUGH DR STE C12",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 MCDONOUGH DR STE C12",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931217",
            "telephone_number": "480-246-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CARE EMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "ALASOW",
        "authorized_official_first_name": "MAHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-246-6997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.

Verify at the official NPI Registry.