Provider Demographics
NPI:1326796665
Name:FIRST CARE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:FIRST CARE MEDICAL TRANSPORTATION LLC
Other - Org Name:FIRST CARE MEDICAL TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:OKITANGOLO
Authorized Official - Last Name:WEMBOLENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-371-7596
Mailing Address - Street 1:24306 MERLIN ROOST CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4816
Mailing Address - Country:US
Mailing Address - Phone:346-297-0588
Mailing Address - Fax:
Practice Address - Street 1:15000 BELLAIRE BLVD STE 0
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2536
Practice Address - Country:US
Practice Address - Phone:713-366-1630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)