SHERRI TAJUDEEN NPI 1659519973

NPI Information

NPI: 1659519973
Provider Name: SHERRI TAJUDEEN

Doing Business As: AMAZING GRACE EMS INC

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
8200 WEDNESBURY LN
STE 365
HOUSTON, TX
ZIP 77074
Phone: (713) 859-6661
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SHERRI TAJUDEEN is a land transport ambulance in Houston, TX. SHERRI TAJUDEEN NPI is 1659519973. The provider is registered as an organization entity type.
The provider Is Doing Business As Amazing Grace Ems Inc.

The provider's business location address is:

8200 WEDNESBURY LN
STE 365
HOUSTON, TX
ZIP 77074-925
Phone: (713) 859-6661
Fax: (713) 484-6318

The provider's authorized official is Sherri Tajudeen .
The authorized official title is Ceo and has the following contact phone number (713) 859-6661.

The CLIA number assigned to this NPI record is 45D1024775 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2009 and was last updated on 1/23/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	1000035	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	TEXAS	EIN
2	AMB655	MEDICARE PIN	TEXAS

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

NPI Synchronization or Removal

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