Provider Demographics
NPI:1457036907
Name:STAR CARE TRANSPORT LLC
Entity Type:Organization
Organization Name:STAR CARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEBRATU
Authorized Official - Middle Name:
Authorized Official - Last Name:JEMBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-237-4811
Mailing Address - Street 1:6930 FAIR OAKS BLVD APT 140
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3372
Mailing Address - Country:US
Mailing Address - Phone:469-237-4811
Mailing Address - Fax:
Practice Address - Street 1:6930 FAIR OAKS BLVD APT 140
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-3372
Practice Address - Country:US
Practice Address - Phone:469-237-4811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)