Provider Demographics
NPI:1063907657
Name:HOMESTEAD AMBULANCE, LLC
Entity type:Organization
Organization Name:HOMESTEAD AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:TRIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-227-4555
Mailing Address - Street 1:926 S HWY 281
Mailing Address - Street 2:P.O. BOX 624
Mailing Address - City:FALFURRIAS
Mailing Address - State:TX
Mailing Address - Zip Code:78355
Mailing Address - Country:US
Mailing Address - Phone:956-227-4555
Mailing Address - Fax:361-356-4399
Practice Address - Street 1:926 S HWY 281
Practice Address - Street 2:
Practice Address - City:FALFURRIAS
Practice Address - State:TX
Practice Address - Zip Code:78355
Practice Address - Country:US
Practice Address - Phone:956-227-4555
Practice Address - Fax:361-356-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport