HONORABLE EMS INC


Address: 5514 Frontier Ct, Ellenwood, GA 30294-4387
Phone: 4046703858

HONORABLE EMS INC (NPI# 1003231721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003231721
Entity Type Organization
Organization Name HONORABLE EMS INC
Practice Address 5514 Frontier Ct
Ellenwood
GA 30294-4387
Practice Telephone 4046703858
Mailing Telephone 4046703858
Mailing Fax Number 6787591896
Enumeration Date 2014-03-04
Last Update Date 2015-10-13
Authorized Official Name TONY KIM (CEO)
Authorized Official Telephone 4046703858
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
1 GA Transportation Services

Office Location

Street Address 5514 FRONTIER CT
City ELLENWOOD
State GA
Zip Code 30294-4387

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1346748837 Kakethia S. Mack Nurse Practitioner 4124 Bosenberry Way, Ellenwood, GA 30294 2018-01-30
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1962944991 Fairview Urgent Care, LLC Clinic/Center 4475 West Village Pkwy, Ellenwood, GA 30294 2016-11-08
1982006169 Kristal Cure Licensed Practical Nurse 4057 Madiosn Court, Ellenwood, GA 30294 2014-09-19
1801233515 1st Class Learning and Performing Arts Local Education Agency (LEA) 5474 Platte Dr, Ellenwood, GA 30294 2013-06-04
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1750908372 1st Class Ambulance Ambulance 5515 Riverdale Rd Ste B, College Park, GA 30349-6449 2020-06-30
1518588250 B and D Medical Transportation Ambulance 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 2020-05-05
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Competitor

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City ELLENWOOD
Zip Code 30294

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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