Provider Demographics
NPI:1417594268
Name:USA CARE MEDICAL TRANSPORTATION, LLC.
Entity Type:Organization
Organization Name:USA CARE MEDICAL TRANSPORTATION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ADE
Authorized Official - Last Name:NOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:619-863-3954
Mailing Address - Street 1:3774 GROVE ST STE L2
Mailing Address - Street 2:
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-1899
Mailing Address - Country:US
Mailing Address - Phone:619-863-3954
Mailing Address - Fax:
Practice Address - Street 1:3774 GROVE ST STE L2
Practice Address - Street 2:
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-1899
Practice Address - Country:US
Practice Address - Phone:619-863-3954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)