Provider Demographics
NPI:1508624818
Name:MCARE TRANSPORT LLC
Entity Type:Organization
Organization Name:MCARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:ALIX
Authorized Official - Last Name:METELLUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-765-3466
Mailing Address - Street 1:7726 WINEGARD RD
Mailing Address - Street 2:2ND FLOOR AV47
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809
Mailing Address - Country:US
Mailing Address - Phone:347-765-3466
Mailing Address - Fax:
Practice Address - Street 1:7726 WINEGARD RD
Practice Address - Street 2:2ND FLOOR AV47
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809
Practice Address - Country:US
Practice Address - Phone:347-765-3466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)