Provider Demographics
NPI:1396816948
Name:AEROCARE MEDICAL TRANSPORT SYSTEM
Entity Type:Organization
Organization Name:AEROCARE MEDICAL TRANSPORT SYSTEM
Other - Org Name:AEROCARE MEDICAL TRANSPORT SYSTEMS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOESPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:CECE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-466-0800
Mailing Address - Street 1:472 ROUTE 47 STE F177
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-8107
Mailing Address - Country:US
Mailing Address - Phone:630-466-0800
Mailing Address - Fax:480-907-2033
Practice Address - Street 1:472 ROUTE 47 STE F177
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-8107
Practice Address - Country:US
Practice Address - Phone:630-466-0800
Practice Address - Fax:480-907-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL7 89503416A0800X
AZ08-00033416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL363948631001Medicaid
IL02222922Medicare UPIN
ILC24393Medicare UPIN