Organization Active NPI

Primetime Medical Transportation LLC

  • Secured Medical Transport (VAN)
  • Houston, TX
National Provider Identifier
1093550378
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
PRIMETIME MEDICAL TRANSPORTATION LLC
Practice address
11602 Burdine St
Houston, TX 77035-2704
Phone
(832) 403-0094
NPI assigned
Jun 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Jeremy Nwokorie
Title
Ceo
Phone
(832) 403-0094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

11602 Burdine St
Houston, TX 77035-2704

Mailing address

11602 Burdine St
Houston, TX 77035-2704
Phone (832) 403-0094

National Provider Directory

National Provider Directory

Locations

11602 Burdine St
Houston, TX 77035
Phone (832) 403-0094

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1093550378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 BURDINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770352704",
            "telephone_number": "832-403-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 BURDINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770352704",
            "telephone_number": "832-403-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETIME MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "NWOKORIE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-403-0094"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.