Provider Demographics
NPI:1740739150
Name:I-CARES TRANSPORTATION LLC
Entity Type:Organization
Organization Name:I-CARES TRANSPORTATION LLC
Other - Org Name:I-CARES TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INTISAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-742-7926
Mailing Address - Street 1:5800 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-5406
Mailing Address - Country:US
Mailing Address - Phone:763-742-7926
Mailing Address - Fax:
Practice Address - Street 1:5800 2ND ST NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-5406
Practice Address - Country:US
Practice Address - Phone:763-742-7926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN903395300021343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)