=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568782506
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GLOBAL REHAB HEALTH CARE SYSTEMS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2010
-----------------------------------------------------
Last Update Date | 09/24/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10039 BISSONNET ST STE 303
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036-7841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-589-9272
-----------------------------------------------------
Fax | 713-995-1806
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10039 BISSONNET ST STE 303
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036-7841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-589-9272
-----------------------------------------------------
Fax | 713-995-1806
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | OLUSOJI T OLUSANYA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-589-9272
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 1000443
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------