Organization Active NPI

Three Star EMS, Inc.

  • Land Ambulance
  • Richmond, TX
National Provider Identifier
1841660370
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000912 Issued in TX
Legal business name
THREE STAR EMS, INC.
Practice address
5307 Persimmon Pass
Richmond, TX 77407
Phone
(832) 892-3030
Fax
(832) 759-5877
NPI assigned
Sep 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Iheukwumere Nkemdirim Agbugba
Title
Administrator
Phone
(832) 892-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1000912 TX Primary

Addresses

Primary practice location

5307 Persimmon Pass
Richmond, TX 77407

Mailing address

5307 Persimmon Pass
Richmond, TX 77407
Phone (832) 892-3030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170911001953 TX Part B Supplier - Ambulance Service Supplier 6901179100 Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Locations

9720 Harlem Rd
Richmond, TX 77407
Phone (281) 239-8986

NPI Registry JSON

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841660370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 PERSIMMON PASS",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-892-3030",
            "fax_number": "832-759-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 PERSIMMON PASS",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-892-3030",
            "fax_number": "832-759-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE STAR EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AGBUGBA",
        "authorized_official_first_name": "IHEUKWUMERE",
        "authorized_official_middle_name": "NKEMDIRIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-892-3030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.