Provider Demographics
NPI:1346293990
Name:INTERCARE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:INTERCARE HEALTH SERVICES, INC
Other - Org Name:TRANSCARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARANOVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-780-7707
Mailing Address - Street 1:PO BOX 420909
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0909
Mailing Address - Country:US
Mailing Address - Phone:713-780-7707
Mailing Address - Fax:713-780-7282
Practice Address - Street 1:10590 WESTOFFICE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-5328
Practice Address - Country:US
Practice Address - Phone:713-780-7707
Practice Address - Fax:713-780-7282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300833416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX528204Medicare ID - Type Unspecified