Provider Demographics
NPI:1831583921
Name:DIRECT CARE CARRIER LLC
Entity type:Organization
Organization Name:DIRECT CARE CARRIER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:BILLY
Authorized Official - Last Name:GUILLAUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-653-0123
Mailing Address - Street 1:134 PONINGO ST
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4010
Mailing Address - Country:US
Mailing Address - Phone:914-653-0123
Mailing Address - Fax:914-819-0833
Practice Address - Street 1:134 PONINGO ST
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4010
Practice Address - Country:US
Practice Address - Phone:914-653-0123
Practice Address - Fax:914-819-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00042-15344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi