Active NPI
Three Star EMS, Inc.
- Land Ambulance
- Richmond, TX
National Provider Identifier
1841660370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000912
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170911001953 | TX | Part B Supplier - Ambulance Service Supplier | 6901179100 | Practice locations: Richmond, TX |
National Provider Directory
National Provider DirectoryLocations
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.