Provider Demographics
NPI:1467778431
Name:AMOUR TRANSPORTATION LOVE INC.
Entity Type:Organization
Organization Name:AMOUR TRANSPORTATION LOVE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUCRETIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-868-2728
Mailing Address - Street 1:4801 LAGUNA BLVD STE 105-120
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7037
Mailing Address - Country:US
Mailing Address - Phone:916-868-2728
Mailing Address - Fax:916-684-8766
Practice Address - Street 1:4801 LAGUNA BLVD STE 105-120
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7037
Practice Address - Country:US
Practice Address - Phone:916-868-2728
Practice Address - Fax:916-684-8766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343800000X, 343900000X, 347B00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicaid
CA=========Medicare PIN
CA=========Medicaid
CA=========Medicare UPIN