Provider Demographics
NPI:1275918955
Name:ALL CARE TRANSPORT LLC
Entity Type:Organization
Organization Name:ALL CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYBARGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:442-800-5152
Mailing Address - Street 1:22617 US HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-4342
Mailing Address - Country:US
Mailing Address - Phone:442-800-5152
Mailing Address - Fax:442-800-5152
Practice Address - Street 1:22617 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-4342
Practice Address - Country:US
Practice Address - Phone:442-800-5152
Practice Address - Fax:442-800-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00013475343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)