MEDICARE: CAREGIVERS UNLIMITED EMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1235383175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREGIVERS UNLIMITED EMS

Provider Business Mailing Address
First Line	:	2626 S LOOP W STE 650E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-5628
Country	:	US
Telephone Number	:	713-668-2273
Fax Number	:	713-668-2273

Provider Business Practice Location Address
First Line	:	3525 S SAM HOUSTON PKWY E
Second Line	:	APT 723
City	:	HOUSTON
State	:	TX
Zip	:	77047-6803
Country	:	US
Telephone Number	:	281-690-1979
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. AVERIL BROUSSARD
Credential	:
Telephone Number	:	713-668-2273

Provider Enumeration Date	:	11/05/2008
Last Update Date	:	11/05/2008

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Directions to “CAREGIVERS UNLIMITED EMS ” Practice Location

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