Provider Demographics
NPI:1205019015
Name:AMERA-CARE TRANSPORT,INC
Entity Type:Organization
Organization Name:AMERA-CARE TRANSPORT,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:ANGELICI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-482-3113
Mailing Address - Street 1:355 E ROSEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-2067
Mailing Address - Country:US
Mailing Address - Phone:414-482-3113
Mailing Address - Fax:414-744-7099
Practice Address - Street 1:355 E ROSEDALE AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-2067
Practice Address - Country:US
Practice Address - Phone:414-482-3113
Practice Address - Fax:414-744-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41409600Medicaid