SPACE CITY MEDICAB (NPI# 1356717185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356717185 |
| Entity Type | Organization |
| Organization Name | SPACE CITY MEDICAB |
| Practice Address |
18214 Upper Bay Rd P.o. 58624 Houston TX 77258-1874 |
| Mailing Address |
P.o. Box 58624 Houston TX 77258-8801 |
| Practice Telephone | 2108334094 |
| Mailing Telephone | 2108334094 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | RONALD L. DRUMMER (OWNER) |
| Authorized Official Telephone | 2108334094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343800000X | Secured Medical Transport (VAN) | TX | Transportation Services |
| Street Address |
18214 UPPER BAY RD P.O. 58624 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77258-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1932700838 | Ucasa, LLC | Technician | 11200 Westheimer Rd Ste 115, Houston, TX 77042-3236 | 2020-11-06 |
| 1942801998 | Sharonfa Lee Hardy | Driver | 7706 Darnay Dr, Houston, TX 77033-3534 | 2020-11-05 |
| 1295336253 | Dawnestel Fodeibou | Lactation Consultant, Non-RN | 3354 Strong Winds Dr, Houston, TX 77014-2862 | 2020-11-05 |
| 1033710991 | Imayarze Limonta-cordero | Registered Nurse | 14119 Sandhill Crane Dr, Houston, TX 77044-4413 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| Find all providers in HOUSTON | ||||
| Taxonomy Code | 343800000X |
| Grouping | Transportation Services |
| Classification | Secured Medical Transport (VAN) |
| A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316502990 | Allied Vision | Secured Medical Transport (VAN) | 9214 Floral Crest Dr, Houston, TX 77083-6225 | 2019-05-08 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1871054882 | Elizabeth Brown | Secured Medical Transport (VAN) | 4010 Leeshire Dr, Houston, TX 77025-4020 | 2019-03-31 |
| 1851884217 | Craig Dewayne White Sr. | Secured Medical Transport (VAN) | 10322 Sierra Dr, Houston, TX 77051-4218 | 2018-06-11 |
| 1174015283 | Mts Live LLC | Secured Medical Transport (VAN) | 122 S Starkville Rd, Houston, MS 38851-2635 | 2018-06-04 |
| 1295234235 | James Aluka | Secured Medical Transport (VAN) | 12304 Hillcroft St Ste B, Houston, TX 77035-5376 | 2018-02-05 |
| 1396270682 | Str8forward LLC | Secured Medical Transport (VAN) | 6278 Foxhunter Rd, Houston, TX 77049-3460 | 2017-04-25 |
| 1265893028 | Myki Enterprises | Secured Medical Transport (VAN) | 3511 Pinemont Dr, B5, Houston, TX 77018-1319 | 2016-03-08 |
| 1922468073 | Ruba Rahhal | Secured Medical Transport (VAN) | 6105 Beverlyhill St Ste 102, Houston, TX 77057-6716 | 2016-03-02 |
| 1538532239 | Ramsome Medical Transportation | Secured Medical Transport (VAN) | 2703 Highway 6, 195, Houston, TX 77082 | 2015-11-04 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on SPACE CITY MEDICAB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.