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EXECUTIVE EMS LLC NPI 1427338623


NPI Information

NPI: 1427338623
Provider Name: EXECUTIVE EMS LLC
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 45D2056141

Address:
33 LYERLY ST
SUITE A-10
HOUSTON, TX
ZIP 77022
Phone: (832) 417-3084
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EXECUTIVE EMS LLC is an ambulance in Houston, TX. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). EXECUTIVE EMS LLC NPI is 1427338623. The provider is registered as an organization entity type.

The provider's business location address is:

33 LYERLY ST
SUITE A-10
HOUSTON, TX
ZIP 77022-064
Phone: (832) 417-3084
Fax: (281) 781-7898

The provider's authorized official is Trenessa Renee Johnson .
The authorized official title is Administrator and has the following contact phone number (832) 417-3084.

The CLIA number assigned to this NPI record is 45D2056141 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2011 and was last updated on 12/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000812OTHERTEXASTX DEPT OF STATE HEALTH SVC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.