Provider Demographics
NPI:1396369658
Name:MAXIMUM CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MAXIMUM CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GELZHISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-604-2858
Mailing Address - Street 1:PO BOX 7752
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-0752
Mailing Address - Country:US
Mailing Address - Phone:757-604-2858
Mailing Address - Fax:757-245-3489
Practice Address - Street 1:1556 SANGAREE CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-7915
Practice Address - Country:US
Practice Address - Phone:757-604-2858
Practice Address - Fax:757-245-3489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)