Provider Demographics
NPI:1740056936
Name:NDI HEALTH SERVICES
Entity type:Organization
Organization Name:NDI HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHO
Authorized Official - Middle Name:
Authorized Official - Last Name:NDIFORCHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-452-8403
Mailing Address - Street 1:13194 US HIGHWAY 301 S, PMB 116
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-7410
Mailing Address - Country:US
Mailing Address - Phone:800-515-8028
Mailing Address - Fax:
Practice Address - Street 1:1503 S US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:CLAIR MEL CITY
Practice Address - State:FL
Practice Address - Zip Code:33619-5126
Practice Address - Country:US
Practice Address - Phone:800-515-8028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker