Provider Demographics
NPI:1659924173
Name:AMPLE ENTERPRISES LLC
Entity Type:Organization
Organization Name:AMPLE ENTERPRISES LLC
Other - Org Name:ACCURIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:YEMANE
Authorized Official - Last Name:NEGASSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-803-4201
Mailing Address - Street 1:4401 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4812
Mailing Address - Country:US
Mailing Address - Phone:512-803-4201
Mailing Address - Fax:
Practice Address - Street 1:4401 OXFORD DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4812
Practice Address - Country:US
Practice Address - Phone:512-803-4201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)