# LIFELINE ORGAN TRANSPORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790619336
- **Authorized official:** SETIAM JOYCELINE KABA (CEO)
- **Authorized official phone:** (201) 989-9777

## Contact information

- **Practice address:** 2002 TIMBERLOCH PL, WOODLANDS, TX 77380-1171
- **Practice address phone:** (201) 989-9777
- **Mailing address:** 2002 TIMBERLOCH PL, SPRING, TX 77380-1171
- **Mailing address phone:** (201) 989-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333300000X | Emergency Response System Companies | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2026
- **Last updated:** 07/02/2026