Healthcare Provider Details

I. General information

NPI: 1225721244
Provider Name (Legal Business Name): 24 SCARVES RELIABLE CARE TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 N FRAZIER ST STE 102-F16
CONROE TX
77301-1239
US

IV. Provider business mailing address

1915 N FRAZIER ST STE 102-F16
CONROE TX
77301-1239
US

V. Phone/Fax

Practice location:
  • Phone: 936-230-6385
  • Fax:
Mailing address:
  • Phone: 936-230-6385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIONNE RANDOLPH
Title or Position: MANAGING MEMBER
Credential:
Phone: 936-230-6385