Provider Demographics
NPI:1124404009
Name:ALWAYS THERE MEDICAID CAB LLC
Entity Type:Organization
Organization Name:ALWAYS THERE MEDICAID CAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:STREATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-847-5454
Mailing Address - Street 1:10310 LYRIC DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-8205
Mailing Address - Country:US
Mailing Address - Phone:317-847-5454
Mailing Address - Fax:317-203-1110
Practice Address - Street 1:10310 LYRIC DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-8205
Practice Address - Country:US
Practice Address - Phone:317-847-5454
Practice Address - Fax:317-203-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN429039343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)