Basic Information
| Provider Information | |||||||||
| NPI: | 1235383175 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CAREGIVERS UNLIMITED EMS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2626 S LOOP W STE 650E | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770545628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136682273 | ||||||||
| FaxNumber: | 7136682273 | ||||||||
| Practice Location | |||||||||
| Address1: | 3525 S SAM HOUSTON PKWY E | ||||||||
| Address2: | APT 723 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770476803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2816901979 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2008 | ||||||||
| LastUpdateDate: | 11/05/2008 | ||||||||
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| AuthorizedOfficialLastName: | BROUSSARD | ||||||||
| AuthorizedOfficialFirstName: | AVERIL | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7136682273 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | CARE GIVERS UNLIMITED INC | ||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | Y | Transportation Services | Ambulance | Land Transport |
No ID Information.