Affirm Legacy LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

AFFIRM LEGACY LLC

Practice address

2411 Kolbe Reach LN
Houston, TX 77080-2561

Phone

(281) 924-4283

NPI assigned

May 19, 2020

Last updated

Jan 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Salem Seyoum

Title

President

Phone

(281) 924-4283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1801419395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 KOLBE REACH LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802561",
            "telephone_number": "281-924-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 KOLBE REACH LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770802561",
            "telephone_number": "281-924-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRM LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "SEYOUM",
        "authorized_official_first_name": "SALEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-924-4283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Houston, TX
• Providers in Houston, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.