Provider Demographics
NPI:1760901359
Name:KUMERA CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:KUMERA CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AUGUSTINE
Authorized Official - Last Name:KUMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-354-9813
Mailing Address - Street 1:8048 BUCKMAN CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-3804
Mailing Address - Country:US
Mailing Address - Phone:571-354-9813
Mailing Address - Fax:
Practice Address - Street 1:8048 BUCKMAN CT.
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309
Practice Address - Country:US
Practice Address - Phone:571-354-9813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA66121456343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherNONE EMERGENCY TRANSPORTATION