Provider Demographics
NPI:1396561619
Name:ICARE NON-EMERGENCY MEDICAL TRANSPORT, L.L.C
Entity type:Organization
Organization Name:ICARE NON-EMERGENCY MEDICAL TRANSPORT, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAQUETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-903-3826
Mailing Address - Street 1:601 TRAVERSE DR S
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-9028
Mailing Address - Country:US
Mailing Address - Phone:559-903-3826
Mailing Address - Fax:
Practice Address - Street 1:601 TRAVERSE DR S
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-9028
Practice Address - Country:US
Practice Address - Phone:559-903-3826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)