Healthcare Provider Details

I. General information

NPI: 1669196663
Provider Name (Legal Business Name): ASSURED CARE TRANSPORTATION SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SOUTHWESTERN BLVD STE 209
SUGAR LAND TX
77478-3548
US

IV. Provider business mailing address

101 SOUTHWESTERN BLVD STE 209
SUGAR LAND TX
77478-3548
US

V. Phone/Fax

Practice location:
  • Phone: 346-933-8012
  • Fax: 281-936-8149
Mailing address:
  • Phone: 281-277-5700
  • 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
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MRS. YAISETH E TRAPP
Title or Position: CEO, RN, BSM, DON
Credential:
Phone: 281-277-5700