Provider Demographics
NPI:1114094901
Name:CRITICAL AIR RESPONSE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:CRITICAL AIR RESPONSE ENTERPRISES, LLC
Other - Org Name:AIRCARE1 INTERNATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-463-1543
Mailing Address - Street 1:5345 WYOMING BLVD NE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3148
Mailing Address - Country:US
Mailing Address - Phone:505-242-7760
Mailing Address - Fax:505-821-1113
Practice Address - Street 1:5345 WYOMING BLVD NE
Practice Address - Street 2:SUITE 105
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3148
Practice Address - Country:US
Practice Address - Phone:505-242-7760
Practice Address - Fax:505-821-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMF000313416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport