Active NPI
Life Med Care Inc
Doing business as life Med Care
- Ambulance
- Houston, TX
National Provider Identifier
1205457611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LIFE MED CARE INC
- Doing business as
- life Med Care
- Practice address
- 2300 McCue Rd Apt 311
Houston, TX 77056-4638 - Phone
- (832) 475-7415
- NPI assigned
- Apr 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohammad Edaibes, EMT
- Title
- Aor
- Phone
- (832) 475-7415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2300 McCue Rd Apt 311
Houston, TX 77056-4638
Mailing address
2300 McCue Rd Apt 311
Houston, TX 77056-4638
Phone (832) 475-7415
Other names 1
- life Med Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lifemedcare2020@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200930000796 | TX | Part B Supplier - Ambulance Service Supplier | 7517386220 | Practice locations: Katy, TX |
National Provider Directory
National Provider DirectoryLocations
333 West Loop N
Ste 122
Houston, TX 77024
Phone (832) 475-7415
1117 S Mason Rd
Katy, TX 77450
Phone (832) 475-7415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587945600000",
"number": "1205457611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 MCCUE RD APT 311",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770564638",
"telephone_number": "832-475-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MCCUE RD APT 311",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770564638",
"telephone_number": "832-475-7415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE MED CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A",
"authorized_official_last_name": "EDAIBES",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "AOR",
"authorized_official_telephone_number": "832-475-7415",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lifemedcare2020@gmail.com",
"affiliation": "N",
"address_1": "2300 McCue Rd Apt 311",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770564638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "life Med Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
- Life Health Care Services Inc.
- Life Healthcare Medical Services
- Life Jurnee Home Care LLC
- Life Line Emergency Services LLC (Life Line EMS LLC)
- Life Line Transport LLC
- Life Medical Center LLC
- Life Mental Health Services of Texas, LLC (Life Mental Health)
- Life Milestone Services LLC
- Life New Look Hospice LLC
- Life Patterns Behavioral Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.