=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295349223
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SCUBBY TRANSPORTATION SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2020
-----------------------------------------------------
Last Update Date | 07/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9850 S KIRKWOOD RD APT 1915
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77099-2582
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-305-6190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9850 S KIRKWOOD RD APT 1915
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77099-2582
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-305-6190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SODIQ OLAONIPEKUN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 432-305-6190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343800000X
-----------------------------------------------------
Taxonomy Name | Secured Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------