Provider Demographics
NPI:1114391901
Name:TOP CARE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:TOP CARE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EIHAB
Authorized Official - Middle Name:MOHAMED ALI
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-469-2706
Mailing Address - Street 1:4715 BACKSTRETCH BLVD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2187
Mailing Address - Country:US
Mailing Address - Phone:202-469-2706
Mailing Address - Fax:
Practice Address - Street 1:4715 BACKSTRETCH BLVD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2187
Practice Address - Country:US
Practice Address - Phone:202-469-2706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN190077343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)