Provider Demographics
NPI:1376319111
Name:ULTIMATE CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ULTIMATE CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:AMEAN
Authorized Official - Last Name:ALAWDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-862-1260
Mailing Address - Street 1:2951 DAN ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3709
Mailing Address - Country:US
Mailing Address - Phone:248-862-1260
Mailing Address - Fax:
Practice Address - Street 1:2951 DAN ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3709
Practice Address - Country:US
Practice Address - Phone:248-862-1260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)