Organization Active NPI

Premier Care EMS LLC

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1760736938
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000749 Issued in TX
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

Updated by the provider on Feb 2, 2021

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC2 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.

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.

Verify at the official NPI Registry.