Provider Demographics
NPI:1598083321
Name:LIFERITE EMS INC
Entity type:Organization
Organization Name:LIFERITE EMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GAVIN
Authorized Official - Middle Name:I
Authorized Official - Last Name:NWOKEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-881-2668
Mailing Address - Street 1:PO BOX 570323
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-0323
Mailing Address - Country:US
Mailing Address - Phone:832-881-2668
Mailing Address - Fax:877-310-0729
Practice Address - Street 1:8626 HUMBLE WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4588
Practice Address - Country:US
Practice Address - Phone:832-881-2668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
TX10004273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB1015OtherMEDICARE
TXAMB1015OtherMEDICARE