Provider Demographics
NPI:1043295249
Name:CAREGIVER EMS INC
Entity Type:Organization
Organization Name:CAREGIVER EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERROLL
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-292-8505
Mailing Address - Street 1:PO BOX 752473
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77275-2473
Mailing Address - Country:US
Mailing Address - Phone:713-910-2273
Mailing Address - Fax:713-910-0300
Practice Address - Street 1:8922 FREY RD
Practice Address - Street 2:SUITE C1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-3564
Practice Address - Country:US
Practice Address - Phone:713-910-2278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101320341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB326Medicare ID - Type Unspecified