Provider Demographics
NPI:1669196663
Name:ASSURED CARE TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:ASSURED CARE TRANSPORTATION SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, RN, BSM, DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAISETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:TRAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-277-5700
Mailing Address - Street 1:101 SOUTHWESTERN BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3548
Mailing Address - Country:US
Mailing Address - Phone:281-277-5700
Mailing Address - Fax:
Practice Address - Street 1:101 SOUTHWESTERN BLVD STE 209
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3548
Practice Address - Country:US
Practice Address - Phone:346-933-8012
Practice Address - Fax:281-936-8149
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSURED CARE HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-03
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker