Provider Demographics
NPI:1225031958
Name:TRANSCARE ML, INC.
Entity Type:Organization
Organization Name:TRANSCARE ML, INC.
Other - Org Name:TRANSCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-510-9080
Mailing Address - Street 1:1 METROTECH CTR
Mailing Address - Street 2:20TH FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3949
Mailing Address - Country:US
Mailing Address - Phone:718-763-8888
Mailing Address - Fax:
Practice Address - Street 1:306 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1734
Practice Address - Country:US
Practice Address - Phone:610-648-1648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSCARE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-27
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5869433416L0300X
MD5869443416L0300X
MD5869453416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406245100Medicaid
PA077293Medicare ID - Type Unspecified