Provider Demographics
NPI:1902183288
Name:GOOD CARE TRANSPORTATION INC.
Entity Type:Organization
Organization Name:GOOD CARE TRANSPORTATION INC.
Other - Org Name:GOOD CARE AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-484-1710
Mailing Address - Street 1:1711 W TEMPLE ST
Mailing Address - Street 2:SUITE 6682
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-5421
Mailing Address - Country:US
Mailing Address - Phone:213-484-1710
Mailing Address - Fax:213-484-1711
Practice Address - Street 1:1711 W TEMPLE ST
Practice Address - Street 2:SUITE 6682
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5421
Practice Address - Country:US
Practice Address - Phone:213-484-1710
Practice Address - Fax:213-484-1711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA341600000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance