Provider Demographics
NPI:1922370048
Name:TRANSPORT CARE LLC
Entity Type:Organization
Organization Name:TRANSPORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ROCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-478-8856
Mailing Address - Street 1:3715 HENNESSY PL
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-8657
Mailing Address - Country:US
Mailing Address - Phone:707-478-8856
Mailing Address - Fax:877-538-3495
Practice Address - Street 1:3715 HENNESSY PL
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-8657
Practice Address - Country:US
Practice Address - Phone:707-478-8856
Practice Address - Fax:877-538-3495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-05
Last Update Date:2012-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)