Provider Demographics
NPI:1720612690
Name:TRANSCARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TRANSCARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRACHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-337-3850
Mailing Address - Street 1:12701 S JOHN YOUNG PKWY STE 216
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-3423
Mailing Address - Country:US
Mailing Address - Phone:321-337-3850
Mailing Address - Fax:
Practice Address - Street 1:12701 S JOHN YOUNG PKWY STE 216
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-3423
Practice Address - Country:US
Practice Address - Phone:321-337-3850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care