Provider Demographics
NPI:1114691599
Name:BLUECARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BLUECARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAYSEER
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ALGALAL
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTATION
Authorized Official - Phone:443-735-4585
Mailing Address - Street 1:2231 ROSE FAMILY DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4187
Mailing Address - Country:US
Mailing Address - Phone:180-469-0493
Mailing Address - Fax:
Practice Address - Street 1:2231 ROSE FAMILY DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4187
Practice Address - Country:US
Practice Address - Phone:804-690-4933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)