Healthcare Provider Details

I. General information

NPI: 1740056936
Provider Name (Legal Business Name): NDI HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 S US HIGHWAY 301
CLAIR MEL CITY FL
33619-5126
US

IV. Provider business mailing address

13194 US HIGHWAY 301 S, PMB 116
RIVERVIEW FL
33578-7410
US

V. Phone/Fax

Practice location:
  • Phone: 800-515-8028
  • Fax:
Mailing address:
  • Phone: 800-515-8028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. CHO NDIFORCHU
Title or Position: OWNER
Credential:
Phone: 813-452-8403