Active NPI
Ange L Kayumba
- Non-emergency Medical Transport (VAN)
- Houston, TX
National Provider Identifier
1295266989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 12360 Richmond Ave
Houston, TX 77082-2421 - Phone
- (832) 329-2617
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | |||
| Assisted Living Facility | 310400000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
12360 Richmond Ave
Houston, TX 77082-2421
Mailing address
6065 Hillcroft St Ste 610
Houston, TX 77081-1103
Phone (281) 846-6609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3746224 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1295266989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 HILLCROFT ST STE 610",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811103",
"telephone_number": "281-846-6609",
"fax_number": "832-917-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12360 RICHMOND AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822421",
"telephone_number": "832-329-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYUMBA",
"first_name": "ANGE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3746224",
"state": "TX"
}
],
"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 Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.