Organization Active NPI

Life Med Care Inc

Doing business as life Med Care

  • Ambulance
  • Houston, TX
National Provider Identifier
1205457611
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Apr 27, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lifemedcare2020@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200930000796 TX Part B Supplier - Ambulance Service Supplier 7517386220 Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.