Provider Demographics
NPI:1346797743
Name:TRANSCARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TRANSCARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-221-5979
Mailing Address - Street 1:7709 JENNIFER SCOTT CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-2129
Mailing Address - Country:US
Mailing Address - Phone:804-221-5979
Mailing Address - Fax:804-261-1956
Practice Address - Street 1:7709 JENNIFER SCOTT CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2129
Practice Address - Country:US
Practice Address - Phone:804-221-5979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT12003000343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)