Provider Demographics
NPI:1235454653
Name:MEDI-CARE TRANSPORT
Entity Type:Organization
Organization Name:MEDI-CARE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMAR
Authorized Official - Middle Name:JEET
Authorized Official - Last Name:SOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-226-4440
Mailing Address - Street 1:9484 HAVENVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-6032
Mailing Address - Country:US
Mailing Address - Phone:916-226-4440
Mailing Address - Fax:916-714-2731
Practice Address - Street 1:9484 HAVENVIEW WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-6032
Practice Address - Country:US
Practice Address - Phone:916-226-4440
Practice Address - Fax:916-714-2731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200918910211343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)