Victor Agbemava

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Practice address

18806 Providence Valley TRL
Richmond, TX 77407-2013

Phone

(571) 420-4797

NPI assigned

Oct 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Omegachildttransport Services

  • Secured Medical Transport (VAN)
  • Richmond, TX
  • NPI 1497464002
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1245947233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18806 PROVIDENCE VALLEY TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072013",
            "telephone_number": "571-420-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18806 PROVIDENCE VALLEY TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072013",
            "telephone_number": "571-420-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBEMAVA",
        "first_name": "VICTOR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "41531606",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agapel ABA Therapy
• Neal Kumar Agarwal, MD
• Don Agbam
• Nduka Agbam
• Chidiebere J Agbara
• Godwin I Agbim, MD
• Tanya Aggison, MS CCC-SLP
• Zoya Agha, PHARM. D.
• Agilitas USA, Inc.
• Ashley Marie Agnello

• Secured Medical Transport (VAN) in Richmond, TX
• Providers in Richmond, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.