Provider Demographics
NPI:1134384282
Name:E.C. CARE, MEDICAL TRANSPORTATION,INC.
Entity type:Organization
Organization Name:E.C. CARE, MEDICAL TRANSPORTATION,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUMACEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-624-1761
Mailing Address - Street 1:1608 77TH STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4069
Mailing Address - Country:US
Mailing Address - Phone:201-624-1761
Mailing Address - Fax:
Practice Address - Street 1:1608 77TH ST
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4069
Practice Address - Country:US
Practice Address - Phone:201-624-1761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJX4509C343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7119101Medicaid