| Organization Name: | CARELOG HEALTH SUPPORT SERVICES |
| NPI Number: | 1922480011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AYODEJI EGUAI JEREMIAH (GENERAL PARTNER, OPERATIONS) |
| Mailing Address: | 15835 Foothill Farms Loop Apt 523 Pflugerville |
| State: | TX US |
| Postal Code: | 786603231 |
| Phone Number: | 5122520566 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2015 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 343800000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Secured Medical Transport (VAN) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |