ENVISION CARE EMS LLC (NPI# 1013390657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013390657 |
| Entity Type | Organization |
| Organization Name | ENVISION CARE EMS LLC |
| Practice Address |
4267 Chamblee Tucker Rd Tucker GA 30084 |
| Practice Telephone | 6786706578 |
| Mailing Telephone | 6786706578 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | COURTNEI L WILLIAMS (OWNER) |
| Authorized Official Telephone | 6786706578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
4267 CHAMBLEE TUCKER RD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962895946 | Courtnei Williams | Emergency Medical Technician, Paramedic | 4267 Chamblee Tucker Rd, Tucker, GA 30084 | 2015-03-14 |
| 1669842910 | Envision Care LLC | Non-emergency Medical Transport (VAN) | 4267 Chamblee Tucker Rd, Tucker, GA 30084 | 2015-09-30 |
| 1083008825 | Envision Care Ems | Ambulance | 4267 Chamblee Tucker Rd, Tucker, GA 30084 | 2015-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1679018246 | Ambu-link LLC | Ambulance | 2088 Idlewood Rd Ste 5, Tucker, GA 30084-6264 | 2017-01-05 |
| 1871576793 | Lifestar Response of Alabama | Ambulance | 4745 Hugh Howell Rd., Tucker, GA 30085-5007 | 2005-11-23 |
| 1942583356 | Care Plus Emergency Medical Services LLC | Ambulance | 2183 Northlake Pkwy, Suite 102, Tucker, GA 30084-4108 | 2011-09-21 |
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| Find all providers with the same taxonomy | ||||
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| 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.