MEDICARE: I-CARE EMS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	800227	TX

General Provider Information

NPI Number	:	1275687055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I-CARE EMS INC.

Provider Business Mailing Address
First Line	:	1406 SILVERDALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-3244
Country	:	US
Telephone Number	:	832-453-3656
Fax Number	:

Provider Business Practice Location Address
First Line	:	5633 FINCH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77028-3003
Country	:	US
Telephone Number	:	832-453-3656
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. LARRY WAYNE BANDY JR.
Credential	:
Telephone Number	:	832-453-3656

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	05/30/2008

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