Provider Demographics
NPI:1144011370
Name:SURECARE NEMT SERVICES LLC
Entity type:Organization
Organization Name:SURECARE NEMT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:RASHED
Authorized Official - Last Name:IBRAHIM,
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-496-6671
Mailing Address - Street 1:8685 MAGNOLIA TRL APT 307
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7664
Mailing Address - Country:US
Mailing Address - Phone:612-496-6671
Mailing Address - Fax:
Practice Address - Street 1:8685 MAGNOLIA TRL APT 307
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7664
Practice Address - Country:US
Practice Address - Phone:612-496-6671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center