Provider Demographics
NPI:1013483247
Name:MAX CARE TRANSPORTATION SERVICES, INC.
Entity Type:Organization
Organization Name:MAX CARE TRANSPORTATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-653-9708
Mailing Address - Street 1:490 W LAKE ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-3551
Mailing Address - Country:US
Mailing Address - Phone:224-653-9708
Mailing Address - Fax:866-656-1698
Practice Address - Street 1:490 W LAKE ST UNIT 3
Practice Address - Street 2:
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-3551
Practice Address - Country:US
Practice Address - Phone:224-653-9708
Practice Address - Fax:866-656-1698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)