Provider Demographics
NPI:1841692688
Name:SWIFT CARE TRANSPORT LLC,
Entity type:Organization
Organization Name:SWIFT CARE TRANSPORT LLC,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FITORY
Authorized Official - Middle Name:GUMAH
Authorized Official - Last Name:ARJAM
Authorized Official - Suffix:I
Authorized Official - Credentials:OWNER
Authorized Official - Phone:330-707-4880
Mailing Address - Street 1:70 W MCKINLEY WAY STE 13
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1967
Mailing Address - Country:US
Mailing Address - Phone:330-707-4880
Mailing Address - Fax:339-707-4882
Practice Address - Street 1:70 W MCKINLEY WAY STE 13
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1967
Practice Address - Country:US
Practice Address - Phone:330-707-4880
Practice Address - Fax:339-707-4882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SWIFTCARE TRANSPORT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)