Provider Demographics
NPI:1538369863
Name:ELITE CRITICAL CARE EMS, L.L.C.
Entity type:Organization
Organization Name:ELITE CRITICAL CARE EMS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:LICENCED PARAMEDIC
Authorized Official - Phone:956-212-8103
Mailing Address - Street 1:PO BOX 1410
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-1410
Mailing Address - Country:US
Mailing Address - Phone:956-584-2867
Mailing Address - Fax:956-584-2870
Practice Address - Street 1:2101 WEST PALMA VISTA DRIVE
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572
Practice Address - Country:US
Practice Address - Phone:956-584-2867
Practice Address - Fax:956-584-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance