Provider Demographics
NPI:1710431721
Name:SOUAD-CARE TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:SOUAD-CARE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKHEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-585-5593
Mailing Address - Street 1:PO BOX 70082
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23255-0082
Mailing Address - Country:US
Mailing Address - Phone:804-767-9076
Mailing Address - Fax:
Practice Address - Street 1:8824 THREE CHOPT RD
Practice Address - Street 2:APT F
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-4750
Practice Address - Country:US
Practice Address - Phone:804-767-9076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA002-00528240343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherNON EMERGENCY MEDICAL TRANSPORTATION