Provider Demographics
NPI:1659896272
Name:MEDCARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MEDCARE TRANSPORTATION LLC
Other - Org Name:MEDCARE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-338-5945
Mailing Address - Street 1:2555 HOMESTEAD RD APT 62
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5346
Mailing Address - Country:US
Mailing Address - Phone:408-758-0323
Mailing Address - Fax:
Practice Address - Street 1:2555 HOMESTEAD ROAD
Practice Address - Street 2:APT #62
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95052
Practice Address - Country:US
Practice Address - Phone:408-758-0323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)