Active NPI
Premier Care EMS LLC
- Land Ambulance
- Houston, TX
National Provider Identifier
1760736938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000749
- Legal business name
- PREMIER CARE EMS LLC
- Practice address
- 9120 Bellflower St
Houston, TX 77063-5534 - Phone
- (713) 478-4757
- Fax
- (877) 310-0729
- NPI assigned
- Nov 9, 2012
- 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
- Adam Rousan, OWNER
- Title
- Owner
- Phone
- (713) 478-4757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000749 | TX | Primary |
Addresses
Primary practice location
9120 Bellflower St
Houston, TX 77063-5534
Mailing address
9120 Bellflower St
Houston, TX 77063-5534
Phone (713) 478-4757
Other names 1
- PREMIER CARE EMS LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130211000480 | TX | Part B Supplier - Ambulance Service Supplier | 7315191731 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Premier Care EMS LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Houston, TX
- NPI 1184968273
Locations
7322 Southwest Fwy
Ste 610
Houston, TX 77074
Phone (281) 410-1013
9120 Bellflower St
Ofc
Houston, TX 77063
Phone (832) 282-2922
9120 Bellflower St
Houston, TX 77063
Phone (713) 478-4757
12440 Oxford Park Dr
Ste B103
Houston, TX 77082
Phone (832) 282-2922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612224000000",
"number": "1760736938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9120 BELLFLOWER ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635534",
"telephone_number": "713-478-4757",
"fax_number": "877-310-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120 BELLFLOWER ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635534",
"telephone_number": "713-478-4757",
"fax_number": "877-310-0729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER CARE EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-09",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A",
"authorized_official_last_name": "ROUSAN",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-478-4757",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PREMIER CARE EMS LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "PREMIER CARE EMS LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.