Rescue Ambulance Service, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

031-31 Issued in GA

Legal business name

RESCUE AMBULANCE SERVICE, LLC

Practice address

2166 W Park CT Ste B
Stone Mountain, GA 30087-3546

Phone

(470) 819-4151

Fax

(470) 679-3052

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Jamal Abdi Ali

Title

Owner/Manager

Phone

(404) 732-6240

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": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732406400000",
    "number": "1922464536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 W PARK CT STE B",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873546",
            "telephone_number": "470-819-4151",
            "fax_number": "470-679-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 W PARK CT STE B",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873546",
            "telephone_number": "470-819-4151",
            "fax_number": "470-679-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCUE AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "404-732-6240"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "031-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.