Kayumba, Ange L
Kayumba, Ange L is an sole proprietor health care provider with primary practice located at 12360 Richmond Ave , Houston TX 77082-2421. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Nursing & Custodial Care Facilities / Assisted Living Facility, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is his primary health care specialty. Kayumba, Ange L can be contacted via phone (832) 329-2617.Contact Information
Primary practice address
12360 Richmond Ave
Houston TX 77082-2421
Phone: (832) 329-2617
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Health Service | 103TH0100X | ||
Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
NPI number | 1295266989 |
---|---|
LBN Legal business name | Kayumba, Ange L |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 23rd, 2017 |
Last updated | Mar 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295266989 | NPPES |
Texas | MEDICAID | 3746224 |
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