Provider Demographics
NPI:1548937493
Name:REAL CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:REAL CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MNAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATERY
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTES GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-747-5730
Mailing Address - Street 1:13951 MOORPARK ST APT 208
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3499
Mailing Address - Country:US
Mailing Address - Phone:818-747-5730
Mailing Address - Fax:
Practice Address - Street 1:13951 MOORPARK ST APT 208
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3499
Practice Address - Country:US
Practice Address - Phone:818-747-5730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)