Provider Demographics
NPI:1144027277
Name:ELITE CARE TRANSPORT SERVICES
Entity type:Organization
Organization Name:ELITE CARE TRANSPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELCHOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-630-9116
Mailing Address - Street 1:698 ALBION DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-1907
Mailing Address - Country:US
Mailing Address - Phone:408-630-9116
Mailing Address - Fax:
Practice Address - Street 1:698 ALBION DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95136-1907
Practice Address - Country:US
Practice Address - Phone:408-630-9116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)