Provider Demographics
NPI:1184273914
Name:SPEEDYCARE
Entity type:Organization
Organization Name:SPEEDYCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KADMIEL
Authorized Official - Middle Name:CALEB
Authorized Official - Last Name:SAINTANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-226-3878
Mailing Address - Street 1:1907 THUNDER STORM AVE
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-4868
Mailing Address - Country:US
Mailing Address - Phone:256-226-3878
Mailing Address - Fax:
Practice Address - Street 1:1907 THUNDER STORM AVE
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-4868
Practice Address - Country:US
Practice Address - Phone:256-226-3878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle