Provider Demographics
NPI:1558817908
Name:SILVER TRANSPORT CARE INC.
Entity Type:Organization
Organization Name:SILVER TRANSPORT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PERLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE SILVA
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:925-594-3994
Mailing Address - Street 1:24301 SOUTHLAND DR STE 207
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1541
Mailing Address - Country:US
Mailing Address - Phone:510-259-8151
Mailing Address - Fax:510-782-6567
Practice Address - Street 1:24301 SOUTHLAND DR STE 207
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1541
Practice Address - Country:US
Practice Address - Phone:510-259-8151
Practice Address - Fax:510-782-6567
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVER TRANSPORT CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1496343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)