Organization Active NPI

Medalife Care Transport

  • Non-emergency Medical Transport (VAN)
  • Fort Worth, TX
National Provider Identifier
1649947011
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDALIFE CARE TRANSPORT
Practice address
6100 Shady Oaks Manor Dr
Fort Worth, TX 76135-4149
Phone
(516) 312-5553
NPI assigned
Aug 24, 2021
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Wajdi Khdaish
Title
Manager
Phone
(516) 312-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

6100 Shady Oaks Manor Dr
Fort Worth, TX 76135-4149

Mailing address

6100 Shady Oaks Manor Dr
Fort Worth, TX 76135-4149
Phone (516) 312-5553

National Provider Directory

National Provider Directory
Tax ID family
Medalife Care Transport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6100 Shady Oaks Manor Dr
Fort Worth, TX 76135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1649947011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SHADY OAKS MANOR DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761354149",
            "telephone_number": "516-312-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SHADY OAKS MANOR DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761354149",
            "telephone_number": "516-312-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALIFE CARE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "KHDAISH",
        "authorized_official_first_name": "WAJDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-312-5553"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.