Life Savers Emergency Room II, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

LIFE SAVERS EMERGENCY ROOM II, LLC

Doing business as

Life Savers Emergency Room

Practice address

3820 N Shepherd Dr Ste a
Houston, TX 77018-6408

Phone

(832) 930-1705

Fax

(832) 604-6291

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Foyeke Foye Ikyaator, MD

Title

Manager

Phone

(832) 930-1705

Specialties & licenses 1

Addresses

Other names 1

• Life Savers Emergency Room Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670151

Legal name

LIFE SAVERS EMERGENCY ROOM II 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

3820 N Shepherd Drive, Suite a
Houston, TX 77018

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

CLIA laboratory certificates

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1295223477",
    "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": "832-930-1705",
            "fax_number": "832-604-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N SHEPHERD DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186408",
            "telephone_number": "832-930-1705",
            "fax_number": "832-604-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SAVERS EMERGENCY ROOM II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "IKYAATOR",
        "authorized_official_first_name": "FOYEKE",
        "authorized_official_middle_name": "FOYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-930-1705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Savers Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 22, 2019; 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.