Provider Demographics
NPI:1083253884
Name:SOMCARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SOMCARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULFATAH
Authorized Official - Middle Name:ABDINUR
Authorized Official - Last Name:SHERIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-282-6528
Mailing Address - Street 1:3408 NE 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79107-6918
Mailing Address - Country:US
Mailing Address - Phone:612-282-6528
Mailing Address - Fax:
Practice Address - Street 1:3408 NE 24TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-6918
Practice Address - Country:US
Practice Address - Phone:612-282-6528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)