Provider Demographics
NPI:1518469766
Name:SKYCOAST MOBILITY, LLC
Entity Type:Organization
Organization Name:SKYCOAST MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMSEY
Authorized Official - Middle Name:SUMERA
Authorized Official - Last Name:NAVASCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-349-4712
Mailing Address - Street 1:1485 BAYSHORE BLVD., MB219
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124
Mailing Address - Country:US
Mailing Address - Phone:415-349-4712
Mailing Address - Fax:
Practice Address - Street 1:1485 BAYSHORE BLVD., SUITE #320A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124
Practice Address - Country:US
Practice Address - Phone:415-906-0315
Practice Address - Fax:888-371-9062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-04
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)