Organization · NPI-2

Hephzibah-Beulah LLC

Non-emergency Medical Transport (VAN) · Conroe, TX

NPI number1760211726
StatusActive
Last updated in NPPESMar 31, 2026

Details

NPI
1760211726
Entity type
Organization (NPI-2)
Legal business name
Hephzibah-Beulah LLC
Organization subpart
No
Enumeration date
Jul 29, 2024
Certification date
Mar 31, 2026
Last updated
Mar 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes
343800000X Secured Medical Transport (VAN)––

Practice location

14249 Lake Lodge Dr
Conroe, TX 77384-1539

Phone 940-231-6643

Mailing address

14249 Lake Lodge Dr
Conroe, TX 77384-1539

Phone 940-231-6643

Authorized official

Oluwatayo G Odeyemi
Registered Nurse
9402316643

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