MEDICARE: HOLISTIC CARE EMS LLC

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	1000827	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1000827	OTHER	TX	AMBULANCE LAND

General Provider Information

NPI Number	:	1871854075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC CARE EMS LLC

Provider Business Mailing Address
First Line	:	PO BOX 2377
Second Line	:
City	:	ALIEF
State	:	TX
Zip	:	77411-2377
Country	:	US
Telephone Number	:	832-887-2909
Fax Number	:	832-514-6444

Provider Business Practice Location Address
First Line	:	10101 HARWIN DR STE 310B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1721
Country	:	US
Telephone Number	:	832-887-2909
Fax Number	:	832-514-6444

Authorized Official
Title or Position	:	OWNER
Name	:	DESTINY O UGWU
Credential	:	RN/NP
Telephone Number	:	832-887-2909

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	06/01/2026

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Directions to “HOLISTIC CARE EMS LLC ” Practice Location

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