Miracle EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000622 Issued in TX

Legal business name

MIRACLE EMS INC

Doing business as

Villawood Medical Transport

Practice address

10100 Belknap Rd
Suite A7
Sugar Land, TX 77498-1124

Phone

(281) 201-5538

Fax

(281) 201-5539

NPI assigned

May 15, 2011

Last updated

May 15, 2011By 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

Henry Okonma

Title

President

Phone

(281) 201-5538

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VILLAWOOD MEDICAL TRANSPORT Doing business as

Locations

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305417600000",
    "number": "1922390525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 BELKNAP RD",
            "address_2": "SUITE A7",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981124",
            "telephone_number": "281-201-5538",
            "fax_number": "281-201-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 BELKNAP RD",
            "address_2": "SUITE A7",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981124",
            "telephone_number": "281-201-5538",
            "fax_number": "281-201-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-15",
        "last_updated": "2011-05-15",
        "status": "A",
        "authorized_official_last_name": "OKONMA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-201-5538"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVI CES",
            "identifier": "1000622",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAWOOD MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.