Provider Demographics
NPI:1396743225
Name:AMERICARE MEDSERVICES INC.
Entity type:Organization
Organization Name:AMERICARE MEDSERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:714-848-4273
Mailing Address - Street 1:1059 E BEDMAR ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3601
Mailing Address - Country:US
Mailing Address - Phone:310-835-9390
Mailing Address - Fax:310-835-3926
Practice Address - Street 1:1059 E BEDMAR ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3601
Practice Address - Country:US
Practice Address - Phone:310-835-9390
Practice Address - Fax:310-835-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X, 343900000X, 343800000X
CAA137341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZA483AMedicare ID - Type UnspecifiedLOS ANGELES COUNTY NUMBER