PROVIDENCE EMS, LLC (NPI# 1508151275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508151275 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE EMS, LLC |
| Practice Address |
1283 Breedlove St Memphis TN 38107-1640 |
| Mailing Address |
5830 Mount Moriah Rd Suite 18c Memphis TN 38115-1607 |
| Practice Telephone | 9015509100 |
| Practice Fax Number | 9017947877 |
| Mailing Telephone | 9015509100 |
| Mailing Fax Number | 9017947877 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-11-22 |
| Authorized Official Name | MS. NIA K. TRAYLOR (OWNER) |
| Authorized Official Telephone | 9015509100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| Street Address |
1283 BREEDLOVE ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38107-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346801925 | Sarah E. Stevenson | Respiratory Therapist, Certified | 236 Caldwell Ave., Memphis, TN 38107 | 2019-06-25 |
| 1235516097 | Behavioral Healthcare Center At Memphis, Inc. | Psychiatric Hospital | 1505 N Second Street, Memphis, TN 38107 | 2015-04-30 |
| 1568732766 | Mary Geneva Scott | Pharmacist | 957 Elm Grove Cr, Collierville, TN 38107 | 2012-01-04 |
| 1053375634 | Harbor View Nursing and Rehabilitation Center Inc | Nursing Facility/Intermediate Care Facility | 1513 N 2nd St, Memphis, TN 38107 | 2006-04-12 |
| 1902289937 | Emily Williams | Speech-Language Pathologist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2015-07-08 |
| 1043586498 | Jordan A Bunn | Occupational Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2012-03-30 |
| 1700186624 | Colleen M. Foeller | Occupational Therapy Assistant | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-10-26 |
| 1972818920 | Brian Matthew Defeo | Physical Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-08-15 |
| 1154635993 | Jonna Pfountz | Occupational Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-08-04 |
| 1891009643 | Montricia Renese Glenn | Occupational Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-08-04 |
| Find all providers in zip 38107 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073338 | Lifecare Ambulance LLC | Ambulance | 5100 Poplar Ave Ste 2709a, Memphis, TN 38137-4000 | 2020-05-02 |
| 1184995946 | Greater Memphis Ems | Ambulance | 6240 E Shelby Dr, Memphis, TN 38141-7735 | 2012-01-25 |
| 1336416718 | Emmanuel Medical Services LLC | Ambulance | 2510 Lamar Ave., Memphis, TN 38114 | 2011-11-29 |
| 1144455684 | Mark X. Williams | Ambulance | 6576 Pine Top Cir S, Memphis, TN 38141-7800 | 2009-05-28 |
| 1902031677 | Students, Mothers and Concerned Citizens | Ambulance | 3455 Rebeh Rd, Memphis, TN 38109-3433 | 2009-05-23 |
| 1609087055 | Eagle Medical Service Ems LLC | Ambulance | 1710 Barcrest Dr, Memphis, TN 38134-6404 | 2007-05-25 |
| 1689679193 | Emergency Mobile Health Care, LLC | Ambulance | 6972 Appling Farms Pkwy, Suite 110, Memphis, TN 38133-4725 | 2005-06-21 |
| 1699704411 | Hall County Ems, Inc. | Ambulance | 618 W Main St, Memphis, TX 79245-3304 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285113118 | Ambulnz Tn LLC | Ambulance | 219 Blanton Ave, Nashville, TN 37210-4703 | 2018-08-10 |
| 1205337573 | White Oak Transportation Inc | Ambulance | 119 Cedar Ln, Chattanooga, TN 37421-3533 | 2018-02-22 |
| 1912384801 | Covenant Medical Transport LLC | Ambulance | 6759 Bauxhall Dr, Germantown, TN 38138-0629 | 2015-04-30 |
| 1528456563 | Lockhart Transportation | Ambulance | 727 Bell Rd Apt 703, Antioch, TN 37013-8015 | 2014-12-29 |
| 1508265208 | A & E Emergency Services, LLC | Ambulance | 151 W Waggoner St, Tullahoma, TN 37388-4356 | 2014-08-19 |
| 1508284043 | Lifeguard Ambulance Service LLC | Ambulance | 2050 S Kelley St, Chattanooga, TN 37404-6201 | 2014-04-02 |
| 1407274947 | Lifeguard Ambulance Service LLC | Ambulance | 1006 Dutch Valley Dr Ste B, Knoxville, TN 37918-7082 | 2014-04-02 |
| 1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
| 1508117722 | Saint Thomas Health | Ambulance | 460 Metroplex Dr, Ste 114, Nashville, TN 37211-3156 | 2012-09-27 |
| 1932471398 | Life Care Ems, LLC | Ambulance | 1980 Harbor Hills Dr, Dandridge, TN 37725-6650 | 2012-02-01 |
| 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.