Provider Demographics
NPI:1134962590
Name:BETH-ELIAS ENTERPRISES LLC
Entity type:Organization
Organization Name:BETH-ELIAS ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAKEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:FAMOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-854-5359
Mailing Address - Street 1:31614 FARLAM FARMS TRL
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-2570
Mailing Address - Country:US
Mailing Address - Phone:281-854-5359
Mailing Address - Fax:
Practice Address - Street 1:31614 FARLAM FARMS TRL
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-2570
Practice Address - Country:US
Practice Address - Phone:281-854-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)