Provider Demographics
NPI:1295037752
Name:LOGISTICARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LOGISTICARE SOLUTIONS, LLC
Other - Org Name:LOGISTICARE SOLUTIONS, LLC - CA REGION 3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-907-7596
Mailing Address - Street 1:1800 PHOENIX BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-5593
Mailing Address - Country:US
Mailing Address - Phone:770-907-7596
Mailing Address - Fax:
Practice Address - Street 1:4281 KATELLA AVE
Practice Address - Street 2:SUITE 228
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3500
Practice Address - Country:US
Practice Address - Phone:714-503-6871
Practice Address - Fax:714-503-6875
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOGISTICARE SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker