Healthsource Medical Response, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

HEALTHSOURCE MEDICAL RESPONSE, LLC

Practice address

1205 N Meyer St
Ste 3
Sealy, TX 77474-1693

Phone

(713) 774-0565

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Ndidi Okoro

Title

Director

Phone

(832) 880-3305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1932561248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N MEYER ST",
            "address_2": "STE 3",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774741693",
            "telephone_number": "713-774-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N MEYER ST",
            "address_2": "STE 3",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774741693",
            "telephone_number": "713-774-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE MEDICAL RESPONSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "NDIDI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-880-3305"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamara Grayer, LMSW
• Guadalupe County Hospital Board
• Karrie Hamman, APRN- FNP-C
• Lacey Michelle Harris, DMD, MSD
• Healthcare PRN Inc.
• Hannah Hohlt, AGNP-C
• Holiness & Brothers E.M.S Inc
• Michael Holub
• Integrated Management Solutions, Inc
• Isidro G Deleon DO PA

• Ambulance in Sealy, TX
• Providers in Sealy, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.