Provider Demographics
NPI:1902251283
Name:MEADOW CARE TRANSPORTATION SERVICE INC
Entity Type:Organization
Organization Name:MEADOW CARE TRANSPORTATION SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISMAIL
Authorized Official - Middle Name:HUSSAIN
Authorized Official - Last Name:ILAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-901-9720
Mailing Address - Street 1:9280 CLOISTERS W
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4533
Mailing Address - Country:US
Mailing Address - Phone:804-901-9720
Mailing Address - Fax:804-308-9912
Practice Address - Street 1:9280 CLOISTERS W
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4533
Practice Address - Country:US
Practice Address - Phone:804-901-9720
Practice Address - Fax:804-308-9912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)