Provider Demographics
NPI:1194548503
Name:AS ONE EMS LLC
Entity type:Organization
Organization Name:AS ONE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIUS
Authorized Official - Middle Name:JAMALE
Authorized Official - Last Name:MOYE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:478-455-7886
Mailing Address - Street 1:317 HARLEY FARMS DR
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-5634
Mailing Address - Country:US
Mailing Address - Phone:478-455-7886
Mailing Address - Fax:
Practice Address - Street 1:317 HARLEY FARMS DR
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-5634
Practice Address - Country:US
Practice Address - Phone:478-455-7886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance