Provider Demographics
NPI:1619660495
Name:TAKA CARE LLC
Entity Type:Organization
Organization Name:TAKA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BADRELDIN
Authorized Official - Middle Name:ZIYADA ZIYADA
Authorized Official - Last Name:SORKTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-806-0600
Mailing Address - Street 1:8732 ALDEBURGH DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-5105
Mailing Address - Country:US
Mailing Address - Phone:804-806-0600
Mailing Address - Fax:
Practice Address - Street 1:8732 ALDEBURGH DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-5105
Practice Address - Country:US
Practice Address - Phone:804-806-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)