Family Care Ambulance Service, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FAMILY CARE AMBULANCE SERVICE, LLC

Practice address

747 Davis Rd Ste 100
Stockbridge, GA 30281-3015

Phone

(678) 749-0011

NPI assigned

Nov 15, 2023

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Polite

Title

Owner

Phone

(904) 537-2415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1902671332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 REGENTS PARK",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816914",
            "telephone_number": "904-537-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 DAVIS RD STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813015",
            "telephone_number": "678-749-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-537-2415"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.