Provider Demographics
NPI:1285629352
Name:MAXXIM CARE EMS, INC
Entity Type:Organization
Organization Name:MAXXIM CARE EMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASAOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-363-1827
Mailing Address - Street 1:P.O. BOX 3302
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77383
Mailing Address - Country:US
Mailing Address - Phone:281-363-1827
Mailing Address - Fax:281-363-1839
Practice Address - Street 1:24540 INTERSTATE 45 NORTH
Practice Address - Street 2:8
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-363-1827
Practice Address - Fax:281-363-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101313341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAMB324Medicare ID - Type Unspecified