Provider Demographics
NPI:1083303879
Name:UMBRELLA CARE SERVICES LLC
Entity Type:Organization
Organization Name:UMBRELLA CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:T
Authorized Official - Last Name:MANOBAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-599-4596
Mailing Address - Street 1:2251 CARDSTON CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4011
Mailing Address - Country:US
Mailing Address - Phone:614-599-4596
Mailing Address - Fax:
Practice Address - Street 1:2251 CARDSTON CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4011
Practice Address - Country:US
Practice Address - Phone:614-599-4596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)