Healthcare Provider Details

I. General information

NPI: 1255001467
Provider Name (Legal Business Name): MEIVA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2021
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5918 BELCREST ST
HOUSTON TX
77033-1328
US

IV. Provider business mailing address

5918 BELCREST ST
HOUSTON TX
77033-1328
US

V. Phone/Fax

Practice location:
  • Phone: 832-985-6038
  • Fax:
Mailing address:
  • Phone: 832-691-9908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. ROVELLA LABOME BEAUDOIN
Title or Position: ADMIN
Credential:
Phone: 832-691-9908