Provider Demographics
NPI:1538787387
Name:ABLE CARE TRANSPORTATION INC.
Entity type:Organization
Organization Name:ABLE CARE TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:REQUINTINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-549-3815
Mailing Address - Street 1:11060 REMINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ADELANTO
Mailing Address - State:CA
Mailing Address - Zip Code:92301-6138
Mailing Address - Country:US
Mailing Address - Phone:909-549-3815
Mailing Address - Fax:
Practice Address - Street 1:7415 MCCLELLAN CT
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-5434
Practice Address - Country:US
Practice Address - Phone:909-549-3815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)