EKAETTEELIZABETH E JACK
Secured Medical Transport (VAN)

Address: 3354 Rogerdale Rd Apt 328, Houston, TX 77042-5029

EKAETTEELIZABETH E JACK (NPI# 1457946949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457946949
Entity Type Individual
Full Name EKAETTEELIZABETH E JACK
Gender Female
Practice Address 3354 Rogerdale Rd Apt 328
Houston
TX 77042-5029
Practice Telephone 8325469594
Mailing Address 3354 Rogerdale Rd Apt 328
Houston
TX 77042-5029
Mailing Telephone 8325469594
Certification Date 2021-03-08
Enumeration Date 2021-03-05
Last Update Date 2021-03-08
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 343800000X Secured Medical Transport (VAN) Transportation Services
N 343900000X Non-emergency Medical Transport (VAN) Transportation Services
Y 347C00000X Private Vehicle Transportation Services

Office Location

Street Address 3354 ROGERDALE RD APT 328
City HOUSTON
State TX
Zip Code 77042-5029

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1942823208 Carlton Petties II Registered Nurse 2424 Willcrest Drive, 110, Houston, TX 77042 2020-05-21
1316590003 Elsa Oommen Jacob Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-07-22
1750949517 Milan Daniels Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-06-05
1194383190 Chandra Ann Ware Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-06-04
1053979211 Elan Raichle Hailey Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-06-03
1922566645 Crystal Ann White Registered Nurse · Pediatrics 2424 Wildcrest Suite 110, Houston, TX 77042 2019-03-12
1689132276 Jennifer Lynn Rios Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-03-04
1578029088 Stephanie Szary Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-02-20
1083179758 Leanne Valdez Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-02-06
1821553819 Cindy Sing Wang Nurse Anesthetist, Certified Registered 1500 Citywest Blvd Ste 300, Houston, TX 77042 2019-02-05
Find all providers in zip 77042

Taxonomy Information

Taxonomy Code 343800000X
Grouping Transportation Services
Classification Secured Medical Transport (VAN)

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508489386 A Safer Transit LLC 9900 Westpark Dr Ste 130, Houston, TX 77063-5280 2020-05-27
1316589773 Global Wave Express 9800 Centre Pkwy, Houston, TX 77036-8271 2019-10-16
1316502990 Allied Vision 9214 Floral Crest Dr, Houston, TX 77083-6225 2019-05-08
1922663871 Fast Premier Transport LLC 811 Town and Country Blvd., Suite 141, Houston, TX 77024 2019-05-07
1871054882 Elizabeth Brown · A Timely Transportation 4010 Leeshire Dr, Houston, TX 77025-4020 2019-03-31
1851884217 Craig Dewayne White Sr. 10322 Sierra Dr, Houston, TX 77051-4218 2018-06-11
1396270682 Str8forward LLC 6278 Foxhunter Rd, Houston, TX 77049-3460 2017-04-25
1639624216 Supporting Hands Inc 6335 Gulfton St, Suite 106, Houston, TX 77081-1112 2016-08-24
1265893028 Myki Enterprises · Kingdomtran 3511 Pinemont Dr, B5, Houston, TX 77018-1319 2016-03-08
1922468073 Ruba Rahhal 6105 Beverlyhill St Ste 102, Houston, TX 77057-6716 2016-03-02
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Competitor

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City HOUSTON
Zip Code 77042

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Dataset Information

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.