Provider Demographics
NPI:1861042590
Name:ASSURANCE CARE TRANSPORTATION
Entity Type:Organization
Organization Name:ASSURANCE CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KYEREMEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-717-3610
Mailing Address - Street 1:8296 REISER LN
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-5209
Mailing Address - Country:US
Mailing Address - Phone:703-717-3610
Mailing Address - Fax:
Practice Address - Street 1:8296 REISER LN
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-5209
Practice Address - Country:US
Practice Address - Phone:703-717-3610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-15
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)