Provider Demographics
NPI:1518399948
Name:DBA: HANDICARE PATIENT TRANSPORTATION
Entity Type:Organization
Organization Name:DBA: HANDICARE PATIENT TRANSPORTATION
Other - Org Name:MATINNAZ CONSTRUCTION, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT-CO OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-387-8994
Mailing Address - Street 1:6735 VAN NUYS BLVD
Mailing Address - Street 2:SUITE #203D
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4645
Mailing Address - Country:US
Mailing Address - Phone:818-387-8994
Mailing Address - Fax:
Practice Address - Street 1:6735 VAN NUYS BLVD
Practice Address - Street 2:SUITE #203D
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4645
Practice Address - Country:US
Practice Address - Phone:818-387-8994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker