Provider Demographics
NPI:1144001819
Name:AMAIRE TRANSPORTATION
Entity type:Organization
Organization Name:AMAIRE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVANDRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MATHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-374-9925
Mailing Address - Street 1:21153 ROAD 600 STE 3
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-7819
Mailing Address - Country:US
Mailing Address - Phone:559-374-9925
Mailing Address - Fax:
Practice Address - Street 1:21153 ROAD 600 STE 3
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93638-7819
Practice Address - Country:US
Practice Address - Phone:559-374-9925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)