Immaculate Transportation LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

IMMACULATE TRANSPORTATION LLC

Practice address

12202 Dover St
Houston, TX 77031-2826

Phone

(281) 502-3204

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Miles

Title

Administrator

Phone

(281) 502-3204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1871366070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 DOVER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12202 DOVER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312826",
            "telephone_number": "281-502-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-502-3204"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immaculate Care
• Immaculate EMS, Inc
• Immaculate Home Care
• Immaculate Living Care, LLC
• Immaculate Nursing LLC
• Nang Immanivong
• Immanuel Dental Center
• Josepha Immanuel, M.D
• Kevin Emitseilu Immanuel, M.D
• Oluchi Ibekwe Immanuel, MD

• Secured Medical Transport (VAN) in Houston, TX
• Providers in Houston, 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 Oct 31, 2023; 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.