Healthcare Provider Details

I. General information

NPI: 1346960861
Provider Name (Legal Business Name): A CARE FOR LIFE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 09/02/2022
Certification Date: 09/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9510 EMPRESS CROSSING DR
SPRING TX
77379-6690
US

IV. Provider business mailing address

9510 EMPRESS CROSSING DR
SPRING TX
77379-6690
US

V. Phone/Fax

Practice location:
  • Phone: 832-350-2018
  • Fax:
Mailing address:
  • Phone: 832-350-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ADENIKE ADELEKE
Title or Position: ADMINISTRATOR
Credential: NP
Phone: 832-350-2018