Life Savers Emergency Room LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160205 Issued in TX

Legal business name

LIFE SAVERS EMERGENCY ROOM LLC

Practice address

17685 Tomball Pkwy
Houston, TX 77064-1011

Phone

(832) 779-5433

Fax

(832) 604-6291

NPI assigned

Nov 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Foyeke Ikyaator, M.D.

Title

Ceo

Phone

(832) 779-5433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670150

Legal name

LIFE SAVERS EMERGENCY ROOM LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 27, 2020

Last certification

Apr 27, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

17685 Tomball Pkwy
Houston, TX 77064

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1003280629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17685 TOMBALL PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641011",
            "telephone_number": "832-779-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17685 TOMBALL PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641011",
            "telephone_number": "832-779-5433",
            "fax_number": "832-604-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SAVERS EMERGENCY ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "IKYAATOR",
        "authorized_official_first_name": "FOYEKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-779-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Patterns Behavioral Health Services
• Life Plus
• Life Pulse Diagnostics LLC
• Life Savers Emergency Room II, LLC
• Life Savers Emergency Room III
• Life Skills Therapy, PLLC
• Life Solutions Counseling Services
• Life Span Clinic Inc
• Life Span Mental Health, PLLC
• Life Support Med Supplies LLC

• Emergency Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.