Provider Demographics
NPI:1659018182
Name:SOMCARE SERVICE LLC
Entity Type:Organization
Organization Name:SOMCARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAID
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:408-794-5817
Mailing Address - Street 1:333 W SAN CARLOS ST FL 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-2726
Mailing Address - Country:US
Mailing Address - Phone:408-794-5817
Mailing Address - Fax:
Practice Address - Street 1:333 W SAN CARLOS ST FL 4TH
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-2726
Practice Address - Country:US
Practice Address - Phone:408-794-5817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)